JOURNAL OF THE AMERICAN PODIATRIC MEDICAL ASSOCIATION, cilt.108, sa.1, ss.58-62, 2018 (SCI-Expanded)
Background: Gout is a purine metabolism disease. Tophaceous gout may cause joint destruction and other systemic problems and sometimes may be complicated by infection. Infection and sinus with discharge associated with tophaceous gout are serious complications, and treatment is difficult. We present a patient with tophaceous gout complicated by infection and discharging sinus treated by bilateral amputation at the level of the first metatarsus.