Gouty Panniculitis with Ulcerations in a Patient with Multiple Organ Dysfunctions
Joint Authors
Branam, George
Mellen, Paul
Rose, Crystal
Wang, Lu
Picken, Maria M.
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-06-15
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Gouty panniculitis is a rare manifestation of gout.
Clinically, it is characterized by indurated subcutaneous nodules in nonjoint areas.
Pathologically, typical characteristic gouty tophi can be seen in subcutaneous tissue.
It is postulated that gouty panniculitis develops as a consequence of uric acid accumulation in the body and localized inflammatory changes in subcutaneous tissue.
We report a case of a 46-year-old man with 20-year history of gout, who developed multiple subcutaneous nodules over the abdomen and right groin/thigh area over a 2-year period.
After a recent episode of congestive heart failure and acute renal failure, the nodules increased in size and the overlying skin became erythematous and ulcerated.
Pathologic examination demonstrated typical tophi in the dermis and subcutaneous tissue.
A review of the literature yielded fifteen similar cases that had been previously reported.
We conclude that gouty panniculitis may be a manifestation of undertreated gout and may be exacerbated by the deterioration of other systemic functions.
American Psychological Association (APA)
Wang, Lu& Rose, Crystal& Mellen, Paul& Branam, George& Picken, Maria M.. 2014. Gouty Panniculitis with Ulcerations in a Patient with Multiple Organ Dysfunctions. Case Reports in Rheumatology،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-463315
Modern Language Association (MLA)
Wang, Lu…[et al.]. Gouty Panniculitis with Ulcerations in a Patient with Multiple Organ Dysfunctions. Case Reports in Rheumatology No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-463315
American Medical Association (AMA)
Wang, Lu& Rose, Crystal& Mellen, Paul& Branam, George& Picken, Maria M.. Gouty Panniculitis with Ulcerations in a Patient with Multiple Organ Dysfunctions. Case Reports in Rheumatology. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-463315
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-463315