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Multiple extensor tendon ruptures caused by tophaceous gout

  • Case Report
  • Published:
Modern Rheumatology

Abstract

A 54-year-old woman presented with painless subcutaneous masses on her right hand and spontaneous loss of extension of her ring finger. Surgical exploration of the wrist showed hypertrophic white-colored crystal deposits that both surrounded and invaded into the extensor tendons (intratendinous invasion). Histopathologic examination of the specimen demonstrated findings consistent with gouty tophi. We conclude that tophaceous gout needs to be included in the differential diagnosis of chronic extensor tenosynovitis of the hand.

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Authors and Affiliations

  1. Institute of Rheumatology, Tokyo Women’s Medical University, 10-22 Kawada, Shinjuku, Tokyo, 162-0054, Japan

    Takuji Iwamoto, Hiroe Toki, Katsunori Ikari, Hisashi Yamanaka & Shigeki Momohara

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  1. Takuji Iwamoto
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  2. Hiroe Toki
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  3. Katsunori Ikari
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  4. Hisashi Yamanaka
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  5. Shigeki Momohara
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Corresponding author

Correspondence to Takuji Iwamoto.

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Iwamoto, T., Toki, H., Ikari, K. et al. Multiple extensor tendon ruptures caused by tophaceous gout. Mod Rheumatol 20, 210–212 (2010). https://doi.org/10.1007/s10165-009-0258-x

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  • DOI: https://doi.org/10.1007/s10165-009-0258-x

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