OWN - NLM
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.