Chronic tophaceous gout as the first manifestation of gout in two cases and a review of the literature

Acute gout is a common arthritis that may eventually develop into chronic tophaceous gout (CTG). CTG usually is manifested by recurrent gout attacks. The diagnosis and treatment of CTG is challenging. Although the emergence of CTG without previous gout attacks is uncommon, it is important to recognize this unusual gout presentation.

Source: Seminars in Arthritis and Rheumatism - November 27, 2017 Category: Rheumatology Authors: Amir Bieber, Naomi Schlesinger, Abdallah Fawaz, Reuven Mader Source Type: research