Cutaneous digital papules

[摘要] A 51-year-old man presented with cream-colored papules on his fingers. Ten years before, he began to have intermittent attacks of foot pain 2 or 3 times a year. Then, 3 years before this presentation, he developed nodules on both elbows and painless papules on the finger pads of both hands. He received a diagnosis of gout and stage 3b chronic kidney disease, and urate-lowering therapy was initiated at a local clinic. He had had no recurrence of gouty attacks since initiation of this therapy. However, the therapy was not titrated, and he did not reach the serum urate goal. His renal function gradually declined, and he was referred to our hospital.

[学科分类] 卫生学