TY - JOUR T1 - Polyarticular Severe Tophaceous Gout Secondary to Limited Medication Access JF - The Journal of Rheumatology JO - J Rheumatol SP - 1528 LP - 1529 DO - 10.3899/jrheum.141632 VL - 42 IS - 8 AU - ANAND KUMTHEKAR AU - BEVERLY JOHNSON Y1 - 2015/08/01 UR - http://www.jrheum.org/content/42/8/1528.abstract N2 - Patients in the United States without private medical insurance and who do not qualify for patient assistance programs sometimes have no access to needed medications. The most effective drugs for severe tophaceous gout may be beyond the reach of these patients.A 49-year-old undocumented male Mexican immigrant presented to the emergency room with foot pain, left greater than right. He had a history of chronic diffuse tophaceous gout (Figure … ER -