{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,10]],"date-time":"2025-02-10T17:40:20Z","timestamp":1739209220184,"version":"3.37.0"},"reference-count":8,"publisher":"Mark Allen Group","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wound Care"],"published-print":{"date-parts":[[2025,2,2]]},"abstract":"<jats:p> Ulcerated tophaceous gout is an uncommon presentation of the lower limbs. Treatment of these wounds can be a challenge, as their optimal management remains to be determined. Therefore, a retrospective analysis of medical charts between 2015 and 2021 was conducted at a wound clinic of a university-affiliated hospital to determine the characteristics of patients treated for tophaceous wounds, their evolution and treatment. We report a total of five patients with ulcerated tophaceous gout of the foot who initially presented predominantly with soft tissue infection or osteomyelitis. All progressed well with local wound care, including conservative sharp debridement of the tophi and rapid initiation of urate-lowering therapy. Therefore, a diagnosis of tophi should be considered in an ulceration of the first metatarsophalangeal joint or other toes when whitish-chalky material is present, even if the patient was not previously known to have gout. Tophi ulceration is a rare complication; however, prompt diagnosis and management are important to avoid destruction of the underlying bone structures. <\/jats:p>","DOI":"10.12968\/jowc.2022.0166","type":"journal-article","created":{"date-parts":[[2025,2,10]],"date-time":"2025-02-10T17:06:11Z","timestamp":1739207171000},"page":"133-136","source":"Crossref","is-referenced-by-count":0,"title":["Ulcerated tophaceous gout of the foot: a case report and retrospective chart review"],"prefix":"10.12968","volume":"34","author":[{"given":"Laura","family":"Iglesias-Girard","sequence":"first","affiliation":[{"name":"Centre de Recherche du CISSS de Chaudi\u00e8re-Appalaches, L\u00e9vis, Canada"},{"name":"Dermatology Department, Faculty of Medicine and Health Sciences, Universit\u00e9 de Sherbrooke, Sherbrooke, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justine","family":"Lafleur-Careau","sequence":"additional","affiliation":[{"name":"Centre de l'ost\u00e9oporose et de rhumatologie de Qu\u00e9bec, Qu\u00e9bec, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00e9r\u00f4me","family":"Patry","sequence":"additional","affiliation":[{"name":"Centre de Recherche du CISSS de Chaudi\u00e8re-Appalaches, L\u00e9vis, Canada"},{"name":"Emergency and Family Medicine Department, Faculty of Medicine, Universit\u00e9 Laval, Qu\u00e9bec, Canada"},{"name":"Physical Activity Sciences Department, Universit\u00e9 du Qu\u00e9bec \u00e0 Trois-Rivi\u00e8res, Trois-Rivi\u00e8res, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5130","reference":[{"issue":"6","key":"B1","doi-asserted-by":"crossref","first-page":"744","DOI":"10.1002\/acr.24180","volume":"72","author":"FitzGerald JD","year":"2020","journal-title":"Arthritis Care Res"},{"issue":"5","key":"B2","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1111\/j.1742-481X.2010.00700.x","volume":"7","author":"Patel GK","year":"2010","journal-title":"Int Wound J"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASW.0000515456.65405.56"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)00569-9"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1177\/1759720X14542960"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1177\/1534734613511638"},{"issue":"6","key":"B7","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1016\/j.semarthrit.2016.01.005","volume":"45","author":"Kasper IR","year":"2016","journal-title":"Semin Arthritis Rheum"},{"issue":"3","key":"B8","doi-asserted-by":"crossref","first-page":"146","DOI":"10.5152\/eurjrheum.2019.19100","volume":"7","author":"Rosenthal J","year":"2020","journal-title":"Eur J Rheumatol"}],"container-title":["Journal of Wound Care"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/jowc.2022.0166","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,10]],"date-time":"2025-02-10T17:06:23Z","timestamp":1739207183000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/10.12968\/jowc.2022.0166"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,2]]},"references-count":8,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,2,2]]}},"alternative-id":["10.12968\/jowc.2022.0166"],"URL":"https:\/\/doi.org\/10.12968\/jowc.2022.0166","relation":{},"ISSN":["0969-0700","2052-2916"],"issn-type":[{"value":"0969-0700","type":"print"},{"value":"2052-2916","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,2]]}}}