Skip to main content

Posts

Showing posts with the label solid tophus

Chronic Gout Without Tophus

Truly, gout has many mysteries. Most of them are unsolved, some are unanswered because we fail to recognize the root, or at least we fail to accept a paradigm shift.  One such mystery of gout is how a person gets chronic gout without tophus. Gout for the first timers Surely, when a gout sufferer comes to the doctor for the first time, the doctor can tell the situation right away. Without using any instrument and without any laboratory analysis, the inflammation and pain alone can lead the doctor to immediately and conclusively say that “Hey, that is gout”. But what if there is no inflammation at all? In this case, it will be harder to identify gout. And YES, it is possible to have chronic gout without tophus.  In fact, gout can differ from patient to patient. One can have tophus without pain, some can have pain with swelling while others can have pain without both swelling and tophus. Chronic Gout Chronic gout, by the name itself, is EVERLASTING GOUT (or a...

Gouty Tophi Surgical Treatment...

Gouty tophi is a very complicated condition, for most people, it may not affect much on their daily life except the not so nice looking lumps on the surface of on the skin. But if a gouty tophus is growing on some important musculoskeletal structures such as ligament, cartilage, tendon and bone, it may cause serious problem in the long run and can possible cripple the patient. If you suspect there is some urate crystals form in the above mentioned place that makes you hard to move certain part of your body, then you should seek help of professional surgeon to remove it before the tophus grows further.  There are 2 types of gouty tophi, semiliquid soft and solid hard . It is easier to remove a tophus when it is in semiliquid form, simply by making a small incision to leech out white milky fluid filled with fine urate crystals. But if the tophus is already solid hard, the surgery will be more complicated because the solid tophus may have encapsulated some blood vessels, ner...