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An unusual location of gouty panniculitis: A case report.

Abstract Gouty panniculitis, characterised by the deposition of monosodium urate crystals in subcutaneous tissue, is a rare clinical manifestation of gout.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 28422890
OWN - NLM
STAT- In-Process
DA  - 20170419
LR  - 20170430
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 16
DP  - 2017 Apr
TI  - An unusual location of gouty panniculitis: A case report.
PG  - e6733
LID - 10.1097/MD.0000000000006733 [doi]
AB  - RATIONALE: Gouty panniculitis, characterised by the deposition of monosodium
      urate crystals in subcutaneous tissue, is a rare clinical manifestation of gout. 
      PATIENT CONCERNS: The case of a 67-year-old man is reported, who presented an
      erythematous nodule on the upper part of the right buttock suspicious for an
      abscess. This was in the context of chemotherapy for non-Hodgkin's lymphoma.
      DIAGNOSES: Histopathologic examination demonstrated gouty panniculitis.
      INTERVENTIONS: Because infection was suspected, an incision was performed. The
      lesion was found to be densely calcified and friable, without purulent discharge.
      Therefore, a surgical en-bloc resection was performed. OUTCOMES: The wound healed
      slowly initially due to a combination of malnutrition, chemotherapy and
      infection. A wound infection with Enterococcus faecium was treated with
      antibiotic therapy (carbapenem for seven days) and local therapy. At 6-week
      follow up the wound showed good granulation tissue and was healing well by
      secondary intention. The patient was instructed to continue anti-hyperuricaemic
      treatment. LESSONS SUBSECTIONS: In patients known to have long-standing
      hyperuricaemia and gout with nonspecific subcutaneous erythematous nodules, gouty
      panniculitis should be considered.
FAU - Martin, David
AU  - Martin D
AD  - aDepartment of Visceral Surgery bInstitute of Pathology, University Hospital
      CHUV, Lausanne, Switzerland.
FAU - Joliat, Gaetan-Romain
AU  - Joliat GR
FAU - Fournier, Pierre
AU  - Fournier P
FAU - Brunel, Christophe
AU  - Brunel C
FAU - Demartines, Nicolas
AU  - Demartines N
FAU - Gie, Olivier
AU  - Gie O
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
PMC - PMC5406107
EDAT- 2017/04/20 06:00
MHDA- 2017/04/20 06:00
CRDT- 2017/04/20 06:00
AID - 10.1097/MD.0000000000006733 [doi]
AID - 00005792-201704210-00072 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Apr;96(16):e6733. doi: 10.1097/MD.0000000000006733.

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