| CASE REPORT |
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| Year : 2020 | Volume
: 65
| Issue : 2 | Page : 141-144 |
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Autologous platelet-rich gel treatment of chronic nonhealing ulcerated tophaceous gout
Dawei Chen, Chun Wang, Lina Cui, Xingwu Ran
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
China
 Source of Support: None, Conflict of Interest: None  | Check |
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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