Top
10
Doctor insights on: Gouty Tophi

Share
1

1
How can gouty tophi be dissolved?

How can gouty tophi be dissolved?

Slowly: Diet and uric acid lowering drugs can make tophi dissolve but it is a very slow process. There is one new drug, krystexxa, (pegloticase) which is given intravenously every two weeks if the standard drugs, Allopurinol and febuxostat, fail or are not tolerated. Krystexxa (pegloticase) is very effective but expensive and intravenous (as opposed to the oral medications). ...Read more

See 1 more doctor answer

Tophi (Definition)

Gout occurs when uric acid builds up in tissue such as skin or joints. A gout attack is a result of an inflammatory response to the uric acid. A tophus is a sign of severe gout. Tophi are collections of uric acid crystals. They can form virtually anywhere in the body. Common spots include the outer ear, elbow bursa, and just outside ...Read more


3

3
When a gouty tophi has opened up and the uric acid bulid up starts leaking out will this lower the uric acid level in the body? And how do you treat?

No: A leaking tophus will not effect serum uric acid levels. There are meds available that are very good at dissolving tophi. A leaking one can also be surgically removed. One develops tophi because the serum uric acid is not controlled. ...Read more

See 1 more doctor answer
5

5
Is it possible to have gouty tophus at the age of 24 ?

Yes juvenile gout : you need to see a rheumatologist to clarify what you have. ...Read more

7

7
What is the definition or description of: tophi?

Lump of uric acid: Gout occurs when uric acid builds up in tissue such as skin or joints. A gout attack is a result of an inflammatory response to the uric acid. A tophus is a sign of severe gout. Tophi are collections of uric acid crystals. They can form virtually anywhere in the body. Common spots include the outer ear, elbow bursa, and just outside the finger tip joints. ...Read more

See 2 more doctor answers
8

8
How do you get rid of tophi?

How do you get rid of tophi?

See below: Reduce the level of uric acid in your blood to a very low level, preferably lower than 4mg/dl. You should avoid foods high in purines and probably should be on urate lowering medications like allopurinol. ...Read more

9

9
How do doctors get rid of gout tophi?

Medications; depends: Discuss this with your physician. Tophi are collections of uric acid. Medications that lower uric acid shrink tophi if the level of uric acid in blood can be lowered below 6mg/dl and the lower, the faster (but slowly; millimeters per month). If one has many bulky tophi and pills do not help over time, an infusion of pegloticase (krystexxa) can be much faster but is only rarely needed. ...Read more

See 1 more doctor answer
10

10
Gout? R these tophi? I have 6 of them in a cluster. I am in so much pain. Especially big toe. Http://flic.Kr/p/ejttas http://flic.Kr/p/ejnkzv

Gout? R these tophi? I have 6 of them in a cluster. I am in so much pain. Especially big toe.
Http://flic.Kr/p/ejttas http://flic.Kr/p/ejnkzv

Doubt gout: Gout is extremely rare in a 34 year woman. Therefore i doubt that they are tophi but that is an easy question to answer if you see a rheumatologist.If your great toe is not swollen, very tender to the touch and very painful it is not gout. ...Read more

See 1 more doctor answer