What is your approach to treating tophaceous gout in patients whose uric acid is below 5 prior to initiating uric acid lowering therapy?
Answer from: at Academic Institution
The finding of tophi is associated with elevated total body uric acid. If this is a true serum uric acid, it is conceivable the patient is a high urine excretor to explain the low serum uric acid. Checking uric acid excretion could elucidate this.
Alternatively, low serum uric acid level could be a...
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at John D. Dingell VA Medical Center How can you explain the presence of tophi in a pat...
How can you explain the presence of tophi in a pat...