I have a patient whose 1st toe joints are severely affected by gout. At the moment he has an ulcer that is being dressed by our team once a week and sometimes by himself during the week, if he can't tolerate the dsg on for more than 7 days (he c/o quite significant amount of pain). The wound exudes gouty tophi, which seem to prevent healing. Are there any particular dsgs that would help? At the moment he is on allpurinol. He used to be on indomethacin, but it was discontinued due to having affected his kidneys.
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Many thanks,
Mifiros
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