The 52-year-old male patient (in Vang Danh ward, Quang Ninh) came to the clinic because he had a large tumor in the right elbow, about 4x5cm in size, was stiff, painless but caused problems when his arm was folded.The patient said that he had had had chronic gout for many years, had uneven treatment and often recurred swelling and pain in the joints of the feet and toes.
Through clinical examination and ultrasound, the doctor determined that this was tophy seeds - a deposited mass of urate crystalline sodium due to prolonged increase in uric acid in the blood.Tophy block grows large, attached to the soft tissue around the elbow, affecting the patient's daily activities.
After consultation, the doctors prescribed and performed surgery to remove the entire tofy block of the elbow area.During the surgery, the doctor noted that the tophy block had many white crystalline deposits, clinging to the joint capillaries and tendons.The entire disease organization is carefully peeled off and cleaned, preserving the structure of the elbow joint.
After surgery, the patient's health was stable, the surgical wound was dry, and he was continuing to be monitored and instructed on internal medicine to control uric acid in the blood.
According to doctors, gout is a disease that disrupts purine metabolism, leading to prolonged increase in uric acid in the blood.When not treated properly and medically maintained regularly, urate crystals will settle in soft tissues, forming tofy seeds, causing joint deformities, limited mobility, even ulcers, leaks, infections.
The case reminds patients of the importance of controlling chronic gout.When abnormal khoiuses appear in the elbow or other joint area, the patient needs to go to a specialized medical facility for timely diagnosis and treatment.
