An unusual location of gouty panniculitis: A case report.

Détails

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Etat: Public
Version: Final published version
ID Serval
serval:BIB_A69AE6AA832A
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
An unusual location of gouty panniculitis: A case report.
Périodique
Medicine
Auteur(s)
Martin D., Joliat G.R., Fournier P., Brunel C., Demartines N., Gié O.
ISSN
1536-5964 (Electronic)
ISSN-L
0025-7974
Statut éditorial
Publié
Date de publication
04/2017
Peer-reviewed
Oui
Volume
96
Numéro
16
Pages
e6733
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Résumé
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.

Mots-clé
Aged, Gout/complications, Humans, Hyperuricemia, Male, Panniculitis/etiology, Panniculitis/surgery
Pubmed
Web of science
Open Access
Oui
Création de la notice
20/04/2017 13:51
Dernière modification de la notice
20/08/2019 16:11
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