Indian Journal of Dermatology
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Year : 2020  |  Volume : 65  |  Issue : 2  |  Page : 141-144

Autologous platelet-rich gel treatment of chronic nonhealing ulcerated tophaceous gout

Department of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu, Sichuan, China

Correspondence Address:
Xingwu Ran
Diabetic Foot Care Center, Department of Endocrinology and Metabolism, West China Hospital, Sichuan University, Guoxue Lane #37, Chengdu, Sichuan, 610041
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijd.IJD_157_18

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Ulcers resulting from tophaceous gout are uncommon and very difficult to heal. Here we report a case with chronic refractory tophaceous gout, not responding to conventional treatment modality for several months in a 39-year-old man with a 12-year history of gout with recurrent acute arthritis attacks. Two times after treatment with autologous platelet-rich gel (APG), the ulcer healed finally for 2 months. This is the first study to confirm that APG can improve tophus ulcer healing. Based on conventional medical therapy and standard debridement, APG might be a novel and effective method to stimulate tophus ulcer healing.

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