{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,25]],"date-time":"2025-12-25T19:24:08Z","timestamp":1766690648669,"version":"3.44.0"},"reference-count":16,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,6,13]]},"abstract":"<jats:p>Flexor tenosynovitis of the hand is often caused by trauma or infection. Gouty tenosynovitis is an uncommon presentation of the condition and is usually misdiagnosed as infection with the patient undergoing surgery. The coexistence of infection and gout causing flexor tenosynovitis has never been described before in the literature; we report the first ever case and emphasise the importance of its awareness for optimal treatment. A 54-year-old man was initially diagnosed and treated as having infective flexor tenosynovitis and, later, due to a lack of improvement in his symptoms, was discovered to also have gout. We review the literature and suggest management strategy for use in daily clinical practice, including an algorithm, for this presentation.<\/jats:p>","DOI":"10.1136\/bcr-2015-213601","type":"journal-article","created":{"date-parts":[[2016,6,29]],"date-time":"2016-06-29T17:28:24Z","timestamp":1467221304000},"page":"bcr2015213601","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Coexistent digital gouty and infective flexor tenosynovitis"],"prefix":"10.1136","volume":"2016","author":[{"given":"Qasim","family":"Akram","sequence":"first","affiliation":[{"name":"Blackpool Teaching Hospitals NHS Foundation Trust, Blackpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Hughes","sequence":"additional","affiliation":[{"name":"Salford Royal Foundation Trust, Salford, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lindsay","family":"Muir","sequence":"additional","affiliation":[{"name":"Salford Royal Foundation Trust, Salford, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,6,29]]},"reference":[{"key":"2025082803060047000_2016.jun29_1.bcr2015213601.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(83)80082-3"},{"key":"2025082803060047000_2016.jun29_1.bcr2015213601.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(85)80127-1"},{"key":"2025082803060047000_2016.jun29_1.bcr2015213601.3","doi-asserted-by":"publisher","DOI":"10.3109\/17453678709146486"},{"key":"2025082803060047000_2016.jun29_1.bcr2015213601.4","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200012000-00019"},{"key":"2025082803060047000_2016.jun29_1.bcr2015213601.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(03)00150-3"},{"key":"2025082803060047000_2016.jun29_1.bcr2015213601.6","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1016\/j.jhsa.2004.02.004","article-title":"Gouty flexor tenosynovitis of the digits: report of three cases","volume":"29","author":"Aslam","year":"2004","journal-title":"J Hand Surg Am"},{"key":"2025082803060047000_2016.jun29_1.bcr2015213601.7","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-12-91"},{"key":"2025082803060047000_2016.jun29_1.bcr2015213601.8","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.F.01356"},{"key":"2025082803060047000_2016.jun29_1.bcr2015213601.9","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f5648"},{"key":"2025082803060047000_2016.jun29_1.bcr2015213601.10","doi-asserted-by":"publisher","DOI":"10.1038\/nrrheum.2014.32"},{"key":"2025082803060047000_2016.jun29_1.bcr2015213601.11","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2006.055269"},{"key":"2025082803060047000_2016.jun29_1.bcr2015213601.12","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kem056a"},{"key":"2025082803060047000_2016.jun29_1.bcr2015213601.13","doi-asserted-by":"publisher","DOI":"10.1002\/acr.21772"},{"key":"2025082803060047000_2016.jun29_1.bcr2015213601.14","doi-asserted-by":"crossref","first-page":"1447","DOI":"10.1002\/acr.21773","article-title":"2012 American College of Rheumatology guidelines for management of gout. Part 2: therapy and antiinflammatory prophylaxis of acute gouty arthritis","volume":"64","author":"Khanna","year":"2012","journal-title":"Arthritis Care Res (Hoboken)"},{"key":"2025082803060047000_2016.jun29_1.bcr2015213601.15","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1097\/RHU.0000000000000168","article-title":"Can febuxostat reduce triglyceride and cholesterol serum levels in gouty patients?","volume":"20","author":"Saviola","year":"2014","journal-title":"J Clin Rheumatol"},{"key":"2025082803060047000_2016.jun29_1.bcr2015213601.16","doi-asserted-by":"publisher","DOI":"10.1016\/S0899-7071(02)00545-4"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-213601","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:06:10Z","timestamp":1756375570000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-213601"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,6,29]]},"references-count":16,"alternative-id":["10.1136\/bcr-2015-213601"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-213601","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2016,6,29]]}}}