{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T22:19:13Z","timestamp":1757629153858,"version":"3.44.0"},"reference-count":5,"publisher":"Danish Medical Association","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ugeskr L\u00e6ger"],"abstract":"<jats:p>This case report describes an 88-year-old male with severe tophaceous gouty arthritis, diabetes, and kidney impairment. Over 20 years, the patient experienced recurrent gout attacks and developed tophaceous deposits, some of which ulcerated. Walking was severely impaired by foot deformities, pain, and chronic foot ulcers. Despite multiple consultations and radiological evidence of gout, no urate-lowering therapy was prescribed. Finally, microscopic analysis of foot ulcer debris identified urate crystals, confirming gout. The patient was then started on allopurinol therapy.<\/jats:p>","DOI":"10.61409\/v11240823","type":"journal-article","created":{"date-parts":[[2025,5,9]],"date-time":"2025-05-09T05:23:24Z","timestamp":1746768204000},"page":"1-4","source":"Crossref","is-referenced-by-count":0,"title":["Untreated arthritis urica can cause foot ulcers and amputations in patients with diabetes"],"prefix":"10.61409","author":[{"given":"Claus","family":"Rasmussen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jesper Walther","family":"Larsen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter C.W.","family":"Holm","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Trine Stenbak","family":"Bisgaard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne Grethe","family":"Jurik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"40208","published-online":{"date-parts":[[2025,5,5]]},"reference":[{"key":"ref0","unstructured":"Suppiah R, Dissanayake A, Dalbeth N. High prevalence of gout in patients with type 2 diabetes: male sex, renal impairment, and diuretic use are major risk factors. N Z Med J. 2008;121(1283):43-50"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Rasmussen C, Larsen JW, Holm PCW et al. Gout: an overlooked disease in patients with diabetes? A Danish prospective cohort study with two years follow-up. Clin Diabetes. 2025;cd24-0082. (online 6. jan 2025). https:\/\/doi.org\/10.2337\/cd24-0082","DOI":"10.2337\/cd24-0082"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Rasmussen C, Larsen JW, Christensen HM et al. Optimising gout treatment: insights from a nurse-led cohort study. RMD Open. 2024;10(2):e004179. https:\/\/doi.org\/10.1136\/rmdopen-2024-004179","DOI":"10.1136\/rmdopen-2024-004179"},{"key":"ref3","unstructured":"Dansk Reumatologisk Selskab. Artritis urica. Dansk Reumatologisk Selskab, 2021. https:\/\/danskreumatologi.dk\/nbv\/sygdomme\/artritis-urica\/ (15. jan 2025)"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Dhanda S, Jagmohan P, Quek ST. A re-look at an old disease: a multimodality review on gout. Clin Radiol. 2011;66(10):984-92. https:\/\/doi.org\/10.1016\/j.crad.2011.04.011","DOI":"10.1016\/j.crad.2011.04.011"}],"container-title":["Ugeskrift for L\u00e6ger"],"original-title":[],"deposited":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T13:43:36Z","timestamp":1757511816000},"score":1,"resource":{"primary":{"URL":"https:\/\/ugeskriftet.dk\/videnskab\/V11240823"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,5]]},"references-count":5,"URL":"https:\/\/doi.org\/10.61409\/v11240823","relation":{},"ISSN":["0041-5782","1603-6824"],"issn-type":[{"type":"print","value":"0041-5782"},{"type":"electronic","value":"1603-6824"}],"subject":[],"published":{"date-parts":[[2025,5,5]]}}}