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His hospital course was complicated by acute kidney injury, haemolytic anaemia and <jats:italic>Clostridium difficile<\/jats:italic> infection. He required 1\u2005month of antibiotics and intensive wound care for his ulcers. This case highlights the diagnosis, natural history and management of an unusual complication of hyperuricemia.<\/jats:p>","DOI":"10.1136\/bcr-2015-210707","type":"journal-article","created":{"date-parts":[[2015,8,3]],"date-time":"2015-08-03T19:38:38Z","timestamp":1438630718000},"page":"bcr2015210707","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Ulcerated tophaceous gout"],"prefix":"10.1136","volume":"2015","author":[{"given":"Michelle Gita","family":"Filanovsky","sequence":"first","affiliation":[{"name":"Case Western Reserve University School of Medicine, Cleveland, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8725-6081","authenticated-orcid":false,"given":"Kumar","family":"Sukhdeo","sequence":"additional","affiliation":[{"name":"Case Western Reserve University, Cleveland, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan 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