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10.1097/MD.0000000000008441 http://scihub22266oqcxt.onion/10.1097/MD.0000000000008441 C5671880!5671880!29069047     free     free     free Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Medicine+(Baltimore) 2017 ; 96 (43): ä Nephropedia Template TP {{tp|p=29069047|t=2017. Amputation of the first metatarsophalangeal joint due to a giant gouty tophi: A case report |pdf=|usr=}}{{29069047}} gab.com Text Amputation of the first metatarsophalangeal joint due to a giant gouty tophi: A case report JO: Medicine (Baltimore) http://www.kidney.de/pget.php?&tw=1&pmid=29069047 #FOAvip Rationale:: The first metatarsophalangeal joint (MTP1) is the most frequent site of gouty tophi. We report an unusual case with a giant skin-perforating tophi. This is the first case of gouty tophi at MTP1 which accepts surgical debulking and amputation. Patient Concerns:: A 42-year-old man presented with a seven-year history of gout and a giant tophi at MTP1. The patient was referred to hospital due to persistent pain and ulcerations on the surface of the left MTP1. This rounded, giant, swelling, tophaceous tophi severely interfered with his normal walking. Diagnoses:: The patient was diagnosed with gouty arthritis seven years ago, and did not receive regular anti-gout treatments. Outcomes:: Biochemical examination showed he had raised serum uric acid (SUA, 11.92?mg/dl) and creatinine (258??mol/l). There was a severe joint destruction of MTP1 by X-ray examination. We controlled the skin infection by sulbenicillin. He was given febuxostat to reduce SUA. After 3 months of treatment, SUA fell to 6.8?mg/dl. Then we performed surgical debulking of MTP1 and amputation of hallux. Surgical operations obviously relieved the pain, and improved the function of his left foot. The visual closure after amputation was good. Conclusion:: Surgical amputation of the gout lesion at MTP1 maximized the function, and reduced the pain of this patient. In the case of giant tophi with severe gouty arthritis or skin infections, surgical decisions need to weigh gains and losses carefully. Twit Text FOAVip Amputation of the first metatarsophalangeal joint due to a giant gouty tophi: A case report ????Medicine (Baltimore) http://www.kidney.de/pget.php?&tw=1&pmid=29069047 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=29069047 #FOAvip English Wikipedia <ref>{{Cite pmid|29069047}}</ref> Amputation of the first metatarsophalangeal joint due to a giant gouty tophi: A case report #MMPMID29069047 Zhou C; Xue C; Yang B; Wang W; Xu Y; Huang F; Wang Y Medicine (Baltimore) 2017[Oct]; 96 (43): ä PMID29069047show ga Rationale:: The first metatarsophalangeal joint (MTP1) is the most frequent site of gouty tophi. We report an unusual case with a giant skin-perforating tophi. This is the first case of gouty tophi at MTP1 which accepts surgical debulking and amputation. Patient Concerns:: A 42-year-old man presented with a seven-year history of gout and a giant tophi at MTP1. The patient was referred to hospital due to persistent pain and ulcerations on the surface of the left MTP1. This rounded, giant, swelling, tophaceous tophi severely interfered with his normal walking. Diagnoses:: The patient was diagnosed with gouty arthritis seven years ago, and did not receive regular anti-gout treatments. Outcomes:: Biochemical examination showed he had raised serum uric acid (SUA, 11.92?mg/dl) and creatinine (258??mol/l). There was a severe joint destruction of MTP1 by X-ray examination. We controlled the skin infection by sulbenicillin. He was given febuxostat to reduce SUA. After 3 months of treatment, SUA fell to 6.8?mg/dl. Then we performed surgical debulking of MTP1 and amputation of hallux. Surgical operations obviously relieved the pain, and improved the function of his left foot. The visual closure after amputation was good. Conclusion:: Surgical amputation of the gout lesion at MTP1 maximized the function, and reduced the pain of this patient. In the case of giant tophi with severe gouty arthritis or skin infections, surgical decisions need to weigh gains and losses carefully. äAmputation of the first metatarsophalangeal joint due to a giant gouty(epmc).pdf DeepDyve Pubget Overpricing