Resumen

ORTIZ OLIVARES, Ana Maria; CORTES ROSS, Odisa Mildres  y  TORRES MOTAS, Deisy de los Milagros. Chronic tophaceous gout in an adult. MEDISAN [online]. 2019, vol.23, n.1, pp. 114-120. ISSN 1029-3019.

The case report of a 57 year-old mestizo patient, is presented with a history of rheumatoid arthritis and gout who visited the specialized Dermatology department of "Celia Sánchez Manduley" Teaching Clinical-Surgical Hospital in Manzanillo, Granma province, for presenting disseminated painful nodular lesions. Complementary studies and skin biopsy were carried out which results allowed to diagnose a chronic . The patient was under drugs treatment with prednisona, colchicina and metrotexate, but after discussing the case with the specialists in internal medicine and rheumatology it was decided to sustitute colchicina by alopurinol.

Palabras clave : chronic tophaceous gout; gout tophus, hyperuricemia; monosodic urate; secondary health care.

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