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Chronic gout

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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Chronic gout:

  • often a polyarticular gout
  • tophi may form around joints and often also in the pinna of the ear and with time may ulcerate and discharge
  • may cause joint stiffness and deformity as a result of joint erosion
  • may cause renal damage due to deposition of urate crystals in the renal parenchyma
  • urate urolithiasis occurs in 10%; rarely chronic urate nephropathy with renal failure may develop

N.B. olecranon tophi may be confused for rheumatoid nodules.

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