Acute Gout Following Dermofasciectomy in a Patient With Dupuytren Disease

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• 作者：Elliott Cochrane ; MBChB ; BSc^&lowast ; ; ^{elliottcochrane@doctors.org.uk} ; Rosalyn Harper ; MBChB^&lowast ;
• 关键词：Gout ; Dupuytren ; Dermofasciectomy
• 刊名：The Journal of Hand Surgery
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：42
• 期：1
• 页码：e49-e50
• 全文大小：304 K
• 卷排序：42

文摘

A 62-year-old man underwent uncomplicated dermofasciectomy of the right little finger. In the week after surgery, he presented with erythema, tenderness, reduced range of movement, and a chalklike discharge from the suture line. Investigations revealed a raised serum urate level accompanied with a borderline rise in inflammatory markers. A diagnosis of acute gout was made. The patient was managed with nonsteroidal anti-inflammatory drugs. Clinicians should consider the diagnosis of gout when patients present after surgery with redness, pain, and swelling and also consider measuring urate levels before surgery and initiating colchicine prophylaxis when there is a known diagnosis of gout before surgery. Accurate diagnosis may prevent unnecessary antibiotic use.