case_images: PMC7362275_01
case_images: Finger pad tophi with ulceration.
case_images: RU-58-96631-g001.jpg
case_images: PMC7362275_01_RU-58-96631-g001.jpg
case_images: f0001
case_images: A white chalky discharge from the ulcer was noted (Fig. 1).
case_images: T1- and T2-weighted MRI showing a hypointense lesion in the subcutaneous plane.
case_images: RU-58-96631-g002.jpg
case_images: PMC7362275_01_RU-58-96631-g002.jpg
case_images: f0002
case_images: T2-weighted soft tissue lesion in a superficial plane to the bone and tendons (Fig. 2). The discharge culture was sterile. The serum uric acid measured 10.2 mg/dl and the patient was referred to the rheumatological department for further evaluation and to initiate medical management.
case_images: Excision of the lesion. The lesion is noted firmly incorporated within the soft tissue (A); excised tissue (B); the remaining soft tissue bed studded with fine residual crystals (C); full-thickness skin graft coverage (D).
case_images: RU-58-96631-g003.jpg
case_images: PMC7362275_01_RU-58-96631-g003.jpg
case_images: f0003
case_images: The graft was dressed with bolster dressing (Figs. 3A-3C).
case_images: Six month follow-up showing well-settled graft and full functional recovery.
case_images: RU-58-96631-g004.jpg
case_images: PMC7362275_01_RU-58-96631-g004.jpg
case_images: f0004
case_images: The patient resumed full use of his thumb and daily activity (Fig. 4).