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Citric acid treatment of chronic nonhealing ulcerated tophaceous gout with bursitis.

Nagoba, Basavaraj S; Punpale, Ajay; Poddar, Ashok; Suryawanshi, Namdev M; Swami, Ganesh A; Selkar, Sohan P.

Int J Low Extrem Wounds ; 12(4): 276-8, 2013 Dec.

Article in English | MEDLINE | ID: mdl-24275755

ABSTRACT

The ulceration associated with gout tophi is very difficult to treat because of impaired and halted local inflammatory response resulting from the gout treatment regimen. We report chronic nonhealing tophaceous gout with bursitis in an 80-year-old male, not responding to conventional treatment modality for months together. This nonhealing ulcer was treated successfully with local application of 3% citric acid ointment for 22 days.

Subject(s)

Bursitis , Calcinosis , Citric Acid/administration & dosage , Foot Ulcer/surgery , Gout , Soft Tissue Infections/surgery , Administration, Topical , Aged, 80 and over , Ankle Joint/diagnostic imaging , Ankle Joint/physiopathology , Anti-Bacterial Agents/administration & dosage , Anti-Infective Agents, Local , Bursitis/diagnosis , Bursitis/etiology , Bursitis/physiopathology , Bursitis/therapy , Debridement/methods , Foot Ulcer/etiology , Foot Ulcer/physiopathology , Gout/blood , Gout/complications , Gout/physiopathology , Humans , Male , Ointments , Radiography , Soft Tissue Infections/etiology , Treatment Outcome , Ultrasonography, Doppler, Duplex/methods , Uric Acid/blood , Wound Healing/drug effects

ABSTRACT

Subject(s)

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