Ubehandlet arthritis urica kan være årsag til fodsår og amputationer hos patienter med diabetes

Mie Cecilie Hall Jensen; Bjarke Risgaard; Hanne Trap Wolf

doi:10.61409/V11240823

Ubehandlet arthritis urica kan være årsag til fodsår og amputationer hos patienter med diabetes

Mie Cecilie Hall Jensen, Bjarke Risgaard, Hanne Trap Wolf

Gynækologisk-Obstetrisk Afdeling

Abstract

This case report describes an 88-year-old male with severe tophaceous gouty arthritis, diabetes, and kidney impairment. Over 20 years, the patient experienced recurrent gout attacks and developed tophaceous deposits, some of which ulcerated. Walking was severely impaired by foot deformities, pain, and chronic foot ulcers. Despite multiple consultations and radiological evidence of gout, no urate-lowering therapy was prescribed. Finally, microscopic analysis of foot ulcer debris identified urate crystals, confirming gout. The patient was then started on allopurinol therapy.

Bidragets oversatte titel	Untreated arthritis urica can cause foot ulcers and amputations in patients with diabetes
Originalsprog	Dansk
Tidsskrift	Ugeskrift for Laeger
Vol/bind	187
Udgave nummer	19
ISSN	0041-5782
DOI	https://doi.org/10.61409/V11240823
Status	Udgivet - 5 maj 2025

Emneord

Humans
Male
Aged, 80 and over
Foot Ulcer/etiology
Amputation, Surgical
Arthritis, Gouty/complications
Allopurinol/therapeutic use
Gout Suppressants/therapeutic use
Diabetes Mellitus, Type 2/complications
Diabetic Foot/etiology

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10.61409/V11240823

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title = "Ubehandlet arthritis urica kan v{\ae}re {\aa}rsag til fods{\aa}r og amputationer hos patienter med diabetes",

abstract = "This case report describes an 88-year-old male with severe tophaceous gouty arthritis, diabetes, and kidney impairment. Over 20 years, the patient experienced recurrent gout attacks and developed tophaceous deposits, some of which ulcerated. Walking was severely impaired by foot deformities, pain, and chronic foot ulcers. Despite multiple consultations and radiological evidence of gout, no urate-lowering therapy was prescribed. Finally, microscopic analysis of foot ulcer debris identified urate crystals, confirming gout. The patient was then started on allopurinol therapy.",

keywords = "Humans, Male, Aged, 80 and over, Foot Ulcer/etiology, Amputation, Surgical, Arthritis, Gouty/complications, Allopurinol/therapeutic use, Gout Suppressants/therapeutic use, Diabetes Mellitus, Type 2/complications, Diabetic Foot/etiology",

author = "Jensen, {Mie Cecilie Hall} and Bjarke Risgaard and Wolf, {Hanne Trap}",

note = "Published under Open Access CC-BY-NC-BD 4.0. https://creativecommons.org/licenses/by-nc-nd/4.0/.",

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doi = "10.61409/V11240823",

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AU - Jensen, Mie Cecilie Hall

AU - Risgaard, Bjarke

AU - Wolf, Hanne Trap

N1 - Published under Open Access CC-BY-NC-BD 4.0. https://creativecommons.org/licenses/by-nc-nd/4.0/.

PY - 2025/5/5

Y1 - 2025/5/5

N2 - This case report describes an 88-year-old male with severe tophaceous gouty arthritis, diabetes, and kidney impairment. Over 20 years, the patient experienced recurrent gout attacks and developed tophaceous deposits, some of which ulcerated. Walking was severely impaired by foot deformities, pain, and chronic foot ulcers. Despite multiple consultations and radiological evidence of gout, no urate-lowering therapy was prescribed. Finally, microscopic analysis of foot ulcer debris identified urate crystals, confirming gout. The patient was then started on allopurinol therapy.

AB - This case report describes an 88-year-old male with severe tophaceous gouty arthritis, diabetes, and kidney impairment. Over 20 years, the patient experienced recurrent gout attacks and developed tophaceous deposits, some of which ulcerated. Walking was severely impaired by foot deformities, pain, and chronic foot ulcers. Despite multiple consultations and radiological evidence of gout, no urate-lowering therapy was prescribed. Finally, microscopic analysis of foot ulcer debris identified urate crystals, confirming gout. The patient was then started on allopurinol therapy.

KW - Humans

KW - Male

KW - Aged, 80 and over

KW - Foot Ulcer/etiology

KW - Amputation, Surgical

KW - Arthritis, Gouty/complications

KW - Allopurinol/therapeutic use

KW - Gout Suppressants/therapeutic use

KW - Diabetes Mellitus, Type 2/complications

KW - Diabetic Foot/etiology

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Ubehandlet arthritis urica kan være årsag til fodsår og amputationer hos patienter med diabetes

Abstract

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