Chronic tophaceous gout
a case report in PHC
DOI:
https://doi.org/10.5712/rbmfc20(47)4318Keywords:
Gout, Public health, JointsAbstract
Introduction: Gout is a clinical entity that humans have lived with since the 5th century BC. It stems from a metabolic change in purines, resulting in the accumulation of uric acid in the blood, with its incidence most evident between the third and fourth decades of life, predominantly in men. Risk factors include obesity, Afro-American race, male sex, and higher levels of serum uric acid, and it is also related to increased intake of red meat, seafood, fish, saturated fats and dose- dependent alcohol intake. Case presentation: In its evolution, it can present an exuberant case of chronic tophaceous gout in an adult patient in his fifth decade of life, without regular follow-up. In addition to discussing the effects of poorly controlled hyperuricemia, this paper portrays one of the most challenging complications in the routine of the family and community doctor, osteoarticular involvement. Conclusions: The case in question stands out for its relevance, given the advanced evolutionary stage, which affects the patient’s quality of life and autonomy, demonstrating how practice in primary health care can be challenging and has its potential in the comprehensive approach.
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Copyright (c) 2025 João Gabriel Rodrigues Queiroz, Mariana França da Cunha e Silva, Giovanna Ganley Zimmermann, Pedro Amaral Mendes Freitas , Luiza Lima Ferreira, Amanda Magri Freire
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