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2G509F2 Body deformation from chronic gout—evidenced by tophi nodules on the hand and elbow—illustrates advanced inflammatory arthritis caused by urate crystal deposition. Characterized by recurrent, painful joint attacks (podagra when affecting the big toe), this condition reflects years of hyperuricemia and underscores the importance of early diagnosis and long-term urate-lowering therapy to prevent irreversible joint damage.
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2AKN09X A treatise on the principles and practice of medicine . th is more intermittent than continuous. Dis-turbance in function is not uncommon, but only in extreme cases isdeformity observed, as flexion of the end phalanges into the palm ordeviation toward the radial side. Involvement of the large joints israther uncommon, whence the prognosis is favorable. Diagnosis.—(a) In gout, the history, localization, fine (not coarse)crackling in the knee-joint and radial articulation of the elbow, greaterspontaneous pain, infrequent generalization, and symmetry, the uraticdeposits and tophi in the ear are c
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2AJB8NJ Annual and analytical cyclopaedia of practical medicine . ^ disappear, and they re-main enlarged, red, and tender even afterthe attack has passed away; smaller orlarger hard nodules (tophi) are found inthe tissues around the joints and else-where,—the case is passing over in thechronic stage.. ?d Fig. 1.—Gouty fingers. (Pfeiffer.) As already stated, the first attack ofacute gout ordinarily affects the meta-tarso-phalangeal articulation of the greattoe; in some cases the knee or the elbow-joint is attacked at the onset. Garrod andother authors state that an injury, suchas a sprain or a contus
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