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Gout: ulcerated tophi on a patient's finger

Gout: ulcerated tophi on a patient's finger

M165/0081

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Credit

DR P. MARAZZI / SCIENCE PHOTO LIBRARY DR P. MARAZZI / SCIENCE PHOTO LIBRARY

Caption

Gout. Clinical photo showing ulcerated tophi (swellings) on the forefinger of a person suffering from gout. Gout is a disease in which a defect in uric acid metabolism causes an excess of the acid and its salts (urates) to accumulate in the bloodstream and the joints. These collect in the joint capsules as tophi, causing an acute inflammation, with accompanying swelling, redness and pain. Gout has traditionally been associated with "excessive living", in particular overeating & overdrinking. Treatment involves the use of anti-inflammatory drugs and abstention from rich foods and excessive alcohol.

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