PMC3099210_01
Clinical presentation: Tophi over the right distal interphalangeal joint II. (a) Before therapy with febuxostat. (b) After 10 months of therapy.
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fig1
Multiple subcutaneous tophi were visible (Figure 1(a)). After 5 months, the gouty attacks have stopped and the tophi have started to resolve (Figure 1(b)).
Radiograph of right hand showing the destructive character of recurrent crystal induced arthritis.
CRIM2011-397646.002.jpg
PMC3099210_01_CRIM2011-397646.002.jpg
fig2
Radiographs of both hands and feet showed tophaceous gout and destruction of multiple finger joints (Figure 2).