{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T01:49:17Z","timestamp":1778291357797,"version":"3.51.4"},"reference-count":29,"publisher":"Termedia Sp. z.o.o.","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Reumatologia"],"published-print":{"date-parts":[[2020,6,29]]},"abstract":"<jats:p>Finger pad tophi are an unusual but not very rare presentation of uncontrolled gout. Unlike tophaceous lesions of other locations, finger pad tophi are often difficult to diagnose at presentation due to resemblance to a variety of nodular lesions, coexistence with other connective tissue disorders and sometimes occurrence in asymptomatic hyperuricemia. They also pose a therapeutic dilemma due to a lack of clear treatment guidelines. Several case reports of finger pad tophi have been published before, focusing mainly on diagnosis and medical management. We discuss here a case of thumb pad tophi as primary presentation of undiagnosed asymptomatic hyperuricemia and treated surgically with excision and full-thickness skin graft along with urate-lowering therapy. &lt;br \/&gt;\nThis article highlights the diagnosis and treatment of finger pad tophi. We also discuss the surgical management of tophaceous lesions of hands and digits.<\/jats:p>","DOI":"10.5114\/reum.2020.96631","type":"journal-article","created":{"date-parts":[[2020,7,14]],"date-time":"2020-07-14T21:45:13Z","timestamp":1594763113000},"page":"173-178","source":"Crossref","is-referenced-by-count":3,"title":["Management of ulcerated finger pad tophi"],"prefix":"10.5114","volume":"58","author":[{"given":"Sudipta","family":"Bera","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shobhit","family":"Sharma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vivek","family":"Gupta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Durgesh","family":"Kumar Pal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3061","published-online":{"date-parts":[[2020,6,29]]},"reference":[{"key":"ref-779182","doi-asserted-by":"crossref","unstructured":"Shmerling RH, Stern SH, Gravallese EM, Kantrowitz FG. Tophaceous Deposition in the Finger Pads Without Gouty Arthritis. Arch Intern Med 1988; 148: 1830-1832.","DOI":"10.1001\/archinte.148.8.1830"},{"key":"ref-779183","doi-asserted-by":"crossref","unstructured":"Braun-Falco M, Hofmann SC.Tophaceous gout in the finger pads. Clin Exp Dermatol 2010; 35: e22-e23.","DOI":"10.1111\/j.1365-2230.2009.03331.x"},{"key":"ref-779184","unstructured":"Holland NW, Jost D, Beutler A, et al. Finger Pad Tophi in Gout. J Rheumatol 1996; 23: 690-692."},{"key":"ref-779185","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdcr.2016.10.013"},{"key":"ref-779186","doi-asserted-by":"publisher","DOI":"10.1590\/abd1806-4841.20164466"},{"key":"ref-779187","unstructured":"Chopra KF, Schneiderman P, Grossman ME. Finger pad tophi. Cutis 1999; 64: 233-236."},{"key":"ref-779188","doi-asserted-by":"crossref","unstructured":"Larmon WA, Kurtz JF. The Surgical Management of Chronic Tophaceous Gout. J Bone Joint Surg Am 1958; 40-A: 743-772.","DOI":"10.2106\/00004623-195840040-00001"},{"key":"ref-779189","doi-asserted-by":"publisher","DOI":"10.1097\/BTH.0b013e3181dcaaa8"},{"key":"ref-779190","doi-asserted-by":"publisher","DOI":"10.1007\/s13244-014-0334-4"},{"key":"ref-779191","doi-asserted-by":"publisher","DOI":"10.1016\/s0363-5023(03)00255-7"},{"key":"ref-779192","doi-asserted-by":"publisher","DOI":"10.1136\/ard.36.1.91"},{"key":"ref-779193","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0339(199609)15:3"},{"key":"ref-779194","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-014-2005-4"},{"key":"ref-779195","doi-asserted-by":"publisher","DOI":"10.1016\/s0049-0172(96)80038-2"},{"key":"ref-779196","doi-asserted-by":"publisher","DOI":"10.1002\/jmrs.223"},{"key":"ref-779197","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2008.099713"},{"key":"ref-779198","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2016.01.005"},{"key":"ref-779199","doi-asserted-by":"publisher","DOI":"10.1177\/2040622312462056"},{"key":"ref-779200","doi-asserted-by":"crossref","unstructured":"Straub LR, Smith JW, Carpenter GK Jr, Dietz G. The Surgery of Gout in the Upper Extremity. JBJS 1961; 43: 731-774.","DOI":"10.2106\/00004623-196143050-00010"},{"key":"ref-779201","doi-asserted-by":"publisher","DOI":"10.5114\/reum.2016.63819"},{"key":"ref-779202","doi-asserted-by":"publisher","DOI":"10.1016\/j.hansur.2018.02.005"},{"key":"ref-779203","doi-asserted-by":"publisher","DOI":"10.1097\/01.SAP.0000067723.32532.97"},{"key":"ref-779204","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2007.12.021"},{"key":"ref-779205","doi-asserted-by":"publisher","DOI":"10.4236\/ss.2017.810048"},{"key":"ref-779206","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2017.02.011"},{"key":"ref-779207","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2010.03.019"},{"key":"ref-779208","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2010.0729"},{"key":"ref-779209","doi-asserted-by":"publisher","DOI":"10.1007\/s004029900061"},{"key":"ref-779210","doi-asserted-by":"publisher","DOI":"10.1002\/micr.20949"}],"container-title":["Rheumatology"],"original-title":[],"link":[{"URL":"https:\/\/reu.termedia.pl\/pdf-122117-85906","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/reu.termedia.pl\/pdf-122117-85906","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,1,27]],"date-time":"2023-01-27T08:03:16Z","timestamp":1674806596000},"score":1,"resource":{"primary":{"URL":"https:\/\/reu.termedia.pl\/Management-of-ulcerated-finger-pad-tophi,122117,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,29]]},"references-count":29,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2020]]}},"alternative-id":["122117"],"URL":"https:\/\/doi.org\/10.5114\/reum.2020.96631","relation":{},"ISSN":["0034-6233","2084-9834"],"issn-type":[{"value":"0034-6233","type":"print"},{"value":"2084-9834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6,29]]}}}