chronic gout

Last reviewed 01/2018

Chronic gout:

  • often a polyarticular gout
  • tophi may form around joints and often also in the pinna of the ear and with time may ulcerate and discharge
  • may cause joint stiffness and deformity as a result of joint erosion
  • may cause renal damage due to deposition of urate crystals in the renal parenchyma
  • urate urolithiasis occurs in 10%; rarely chronic urate nephropathy with renal failure may develop

N.B. olecranon tophi may be confused for rheumatoid nodules.