Citric Acid Treatment of Chronic Nonhealing Ulcerated Tophaceous Gout With Bursitis

The ulceration associated with gout tophi is very difficult to treat because of impaired and halted local inflammatory response resulting from the gout treatment regimen. We report chronic nonhealing tophaceous gout with bursitis in an 80-year-old male, not responding to conventional treatment modal...

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Bibliographic Details
Published in:International journal of lower extremity wounds 2013-12, Vol.12 (4), p.276-278
Main Authors: Nagoba, Basavaraj S., Punpale, Ajay, Poddar, Ashok, Suryawanshi, Namdev M., Swami, Ganesh A., Selkar, Sohan P.
Format: Article
Language:English
Subjects:
Administration, Topical
Aged, 80 and over
Ankle Joint - diagnostic imaging
Ankle Joint - physiopathology
Anti-Bacterial Agents - administration & dosage
Anti-Infective Agents, Local
Bursitis - diagnosis
Bursitis - etiology
Bursitis - physiopathology
Bursitis - therapy
Calcinosis
Citric Acid - administration & dosage
Debridement - methods
Foot Ulcer - etiology
Foot Ulcer - physiopathology
Foot Ulcer - surgery
Gout - blood
Gout - complications
Gout - physiopathology
Humans
Male
Ointments
Radiography
Soft Tissue Infections - etiology
Soft Tissue Infections - surgery
Treatment Outcome
Ultrasonography, Doppler, Duplex - methods
Uric Acid - blood
Wound Healing - drug effects
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Description
Summary:The ulceration associated with gout tophi is very difficult to treat because of impaired and halted local inflammatory response resulting from the gout treatment regimen. We report chronic nonhealing tophaceous gout with bursitis in an 80-year-old male, not responding to conventional treatment modality for months together. This nonhealing ulcer was treated successfully with local application of 3% citric acid ointment for 22 days.
ISSN:1534-7346
1552-6941
DOI:10.1177/1534734613511638