Citric Acid Treatment of Chronic Nonhealing Ulcerated Tophaceous Gout With Bursitis

Author:

Nagoba Basavaraj S.1,Punpale Ajay1,Poddar Ashok2,Suryawanshi Namdev M.1,Swami Ganesh A.3,Selkar Sohan P.4

Affiliation:

1. MIMSR Medical College, Latur, Maharashtra, India

2. Poddar Clinic, Latur, Maharashtra, India

3. Latur Cancer & Laproscopy Centre, Latur, Maharashtra, India

4. MIP College of Physiotherapy, Latur, Maharashtra, India

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.

Publisher

SAGE Publications

Subject

General Medicine,Surgery

Reference12 articles.

1. Russell RCG, Williams NS, Bulstrode CJK. Bailey & Love’s Short Practice of Surgery. 25th ed. London, England: Edward Arnold; 2008:441.

2. Kasper DL, Fauci AS, Longo DL, Braunwald E, Hauser SL, Jameson JL. Harrison’s Principles of Internal Medicine. 16th ed. New York, NY: McGraw-Hill; 2005:2046.

3. Surgical treatment of the chronic tophaceous deformity in upper extremities – the shaving technique

4. Ulcerated tophaceous gout

5. Gout – what are the treatment options?

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