An unusual location of gouty panniculitis: A case report.

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State: Public
Version: Final published version
Serval ID
serval:BIB_A69AE6AA832A
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
An unusual location of gouty panniculitis: A case report.
Journal
Medicine
Author(s)
Martin D., Joliat G.R., Fournier P., Brunel C., Demartines N., Gié O.
ISSN
1536-5964 (Electronic)
ISSN-L
0025-7974
Publication state
Published
Issued date
04/2017
Peer-reviewed
Oui
Volume
96
Number
16
Pages
e6733
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Abstract
Gouty panniculitis, characterised by the deposition of monosodium urate crystals in subcutaneous tissue, is a rare clinical manifestation of gout.
The case of a 67-year-old man is reported, who presented an erythematous nodule on the upper part of the right buttock suspicious for an abscess. This was in the context of chemotherapy for non-Hodgkin's lymphoma.
Histopathologic examination demonstrated gouty panniculitis.
Because infection was suspected, an incision was performed. The lesion was found to be densely calcified and friable, without purulent discharge. Therefore, a surgical en-bloc resection was performed.
The wound healed slowly initially due to a combination of malnutrition, chemotherapy and infection. A wound infection with Enterococcus faecium was treated with antibiotic therapy (carbapenem for seven days) and local therapy. At 6-week follow up the wound showed good granulation tissue and was healing well by secondary intention. The patient was instructed to continue anti-hyperuricaemic treatment.
In patients known to have long-standing hyperuricaemia and gout with nonspecific subcutaneous erythematous nodules, gouty panniculitis should be considered.

Keywords
Aged, Gout/complications, Humans, Hyperuricemia, Male, Panniculitis/etiology, Panniculitis/surgery
Pubmed
Web of science
Open Access
Yes
Create date
20/04/2017 13:51
Last modification date
11/02/2021 13:05
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