TY - JOUR T1 - Chronic Tophaceous Gout JF - The Journal of Rheumatology JO - J Rheumatol SP - 554 LP - 555 DO - 10.3899/jrheum.130688 VL - 41 IS - 3 AU - SALIM DÖNMEZ AU - ÖMER NURI PAMUK Y1 - 2014/03/01 UR - http://www.jrheum.org/content/41/3/554.abstract N2 - Severe tophaceous gout is associated with renal impairment, alcohol, obesity, diet, hypertension, family history, and low socioeconomic status1,2. Treatment failure is estimated in about 1% to 1.5% of cases of gout in the United States3.Our patient was a 60-year-old male with gouty arthritis for 15 years and chronic renal failure for 6 years. He described irregular usage of colchicine and urate-lowering … ER -