Gout of the hand and wrist, with carpal tunnel syndrome

Monday, 12 Nov 2007 14:43:53 GMT

A 44-year-old man presented with a 5-month history of progressive
contracture of the left middle &
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nger and a mass that had been increasing in size in the volar
aspect of the left wrist. The patient denied any history of trauma
or infection in this area. On physical examination, he had tight
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exure contracture of the proximal interphalangeal joint (PIP) of
the third &
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nger of the left hand and a 2 &
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 2.5-cm soft tissue cystlike mass on the volar aspect of the left
wrist. He had a mild Tinel sign with radiation to the second and
third &
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nger and also mild thenar atrophy. Radiography of the left hand
(Figure 1) and magnetic resonance imaging (MRI) of the left wrist
(Figures 2 through 6) were performed. </<span class="end-tag"
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Gout of the hand and wrist, with carpal tunnel syndrome