Resolution of Massive Tophaceous Gout with Three Urate-lowering Drugs Carlos Mejía-Chew, MD, Rosa J. Torres, MD, PhD, Eugenio de Miguel, MD, PhD, Juan G. Puig, MD, PhD The American Journal of Medicine Volume 126, Issue 11, Pages e9-e10 (November 2013) DOI: 10.1016/j.amjmed.2013.05.009 Copyright © 2013 Elsevier Inc. Terms and Conditions
Figure 1 Resolution of massive tophaceous gout in a 52-year-old man. Right hand (A) with disabling tophi prevented finger extension. Resolution of hand tophi (B) and knee (C) tophi with 3 urate-lowering drugs (allopurinol, benzbromarone, and rasburicase). Marked improvement in leg muscle masses (D) was related to increased joint motion (walking). The American Journal of Medicine 2013 126, e9-e10DOI: (10.1016/j.amjmed.2013.05.009) Copyright © 2013 Elsevier Inc. Terms and Conditions