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gout uric acid/tophi in Achilles para-tendon area. Any experience or ideas on management

Discussion in 'General Issues and Discussion Forum' started by Ruth Connors, Nov 9, 2018.

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Ruth Connors Welcome New Poster

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One of my patients, a 44 year old Torres Strait Islander patient with DM2 and history of gout and multiple joints damaged, knees, ankles has developed lumps in his Achilles. Although I had not seen or heard of it I suspected tophi. Ultrasound has supported my diagnosis (rare to them too).
So now. How can we help him? what is the prognosis? How do we manage/limit further damage?
He is one of amazing health workers.

Ruth Connors, Nov 9, 2018

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