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10.1080/20009666.2017.1328967 http://scihub22266oqcxt.onion/10.1080/20009666.2017.1328967 C5473190!5473190!28638581     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=28638581&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215 Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\28638581.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117       J+Community+Hosp+Intern+Med+Perspect 2017 ; 7 (2): 136-7 Nephropedia Template TP {{tp|p=28638581|t=2017. Images in clinical medicine: Tophi |pdf=|usr=}}{{28638581}} gab.com Text Images in clinical medicine: Tophi JO: J Community Hosp Intern Med Perspect http://www.kidney.de/pget.php?&tw=1&pmid=28638581 #FOAvip Tophi (plural of tophus, Latin for ?stone?) are stone-like deposits of monosodium urate in the soft tissues, synovial tissues, or in bones near the joints. They are pathognomonic for gout, the most common inflammatory arthritis in the United States, with an estimated lifetime prevalence of 4%. It is usually the end result of loss of the balance between uric acid production and excretion. It can be found anywhere in the body especially in areas of friction or trauma. It is usually painless and rarely to present as the initial manifestation of gout. It is diagnosed mainly clinically. Imaging is mainly used to assess the complication like bony erosions. The American College of Rheumatology (ACR) guidelines currently indicate that urate-lowering therapy should be initiated in patients with the presence of tophi visible on examination or imaging (ACR Evidence A). First-line therapy for urate lowering remains the xanthine oxidase inhibitor allopurinol. The ACR currently recommends colchicine, 0.6 mg (or 0.5 mg) once or twice daily, or low dose NSAIDs should be continued to reduce gout flare incidence for six months after resolution of the tophus. Daily prednisone ?10 mg has been endorsed as an acceptable second-line prophylactic agent.Abbreviations: ACR: American College of Rheumatology; NSAID: non-steroidal anti-inflammatory drug Twit Text FOAVip Images in clinical medicine: Tophi ????J Community Hosp Intern Med Perspect http://www.kidney.de/pget.php?&tw=1&pmid=28638581 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=28638581 #FOAvip English Wikipedia <ref>{{Cite pmid|28638581}}</ref> Images in clinical medicine: Tophi #MMPMID28638581 Salama A; Alweis R J Community Hosp Intern Med Perspect 2017[Mar]; 7 (2): 136-7 PMID28638581show ga Tophi (plural of tophus, Latin for ?stone?) are stone-like deposits of monosodium urate in the soft tissues, synovial tissues, or in bones near the joints. They are pathognomonic for gout, the most common inflammatory arthritis in the United States, with an estimated lifetime prevalence of 4%. It is usually the end result of loss of the balance between uric acid production and excretion. It can be found anywhere in the body especially in areas of friction or trauma. It is usually painless and rarely to present as the initial manifestation of gout. It is diagnosed mainly clinically. Imaging is mainly used to assess the complication like bony erosions. The American College of Rheumatology (ACR) guidelines currently indicate that urate-lowering therapy should be initiated in patients with the presence of tophi visible on examination or imaging (ACR Evidence A). First-line therapy for urate lowering remains the xanthine oxidase inhibitor allopurinol. The ACR currently recommends colchicine, 0.6 mg (or 0.5 mg) once or twice daily, or low dose NSAIDs should be continued to reduce gout flare incidence for six months after resolution of the tophus. Daily prednisone ?10 mg has been endorsed as an acceptable second-line prophylactic agent.Abbreviations: ACR: American College of Rheumatology; NSAID: non-steroidal anti-inflammatory drug äImages in clinical medicine: Tophi (epmc).pdf DeepDyve Pubget Overpricing