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" A leg ulcer with hard, yellow projections "
Gomes, N; Cerejeira, A; Moura, C S; Lopes, J M; Baudrier, T; Azevedo, F
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AL
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| Record Number
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923175
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LA5jm3j11c
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| Language of Document
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English
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| Main Entry
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Gomes, N; Cerejeira, A; Moura, C S; Lopes, J M; Baudrier, T; Azevedo, F
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| Title & Author
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A leg ulcer with hard, yellow projections [Article]\ Gomes, N; Cerejeira, A; Moura, C S; Lopes, J M; Baudrier, T; Azevedo, F
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| Title of Periodical
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Dermatology Online Journal
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| Volume/ Issue Number
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26/4
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| Date
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2020
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| Abstract
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Gout is a multisystem disease that may present in different ways. We report an elderly man who presented with a large ulcer of the left leg with hard yellow projections evolving for one year. Analytical study revealed a normal uric acid level, but histopathology showed a focal basophilic acellular material compatible with a gouty tophus. This tophus represents the cardinal feature of advanced gout and may present several challenges to wound care professionals. In fact, the ulcer in our patient persisted after one-year follow-up. Our aim is to alert clinicians about a rare cutaneous presentation of gout that may be increasingly diagnosed.
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