Her general practitioner diagnosed gouty arthritis because of a high serum uric-acid level (600 µmol/l; normal range 270–380 µmol/l) coexistent with tophi in her hands, and initiated ...

Patients with tophi also had significantly greater impairment of work productivity and activity. Tophaceous gout was associated with greater absenteeism and overall work impairment than both the ...

Other common areas are the knee, elbow, wrist, and finger joints ... and joint fluid aspiration. Tophi are a symptom of gout. They are large, hardened masses of uric acid crystals within and ...