
Paciente de 51 años con gota desde los 24. Presentaba tofos extensos en manos, brazos, codos, hombros, rodillas y pies, además de deformidades articulares y erosiones óseas visibles en radiografías. Tenía una uricemia de 11,4 mg/dl y la actividad de HPRT era normal. Aunque previamente no toleraba el alopurinol por desencadenar crisis, inició una pauta ascendente lenta hasta 600 mg/día, asociada a colchicina y diclofenaco, sin volver a presentar ataques agudos.
Colchicina, Deformidades articulares, Tratamiento escalonado, Erosiones óseas, Radiografías, Tofos, Artritis gotosa, Gota, Alopurinol, Hiperuricemia
Colchicina, Deformidades articulares, Tratamiento escalonado, Erosiones óseas, Radiografías, Tofos, Artritis gotosa, Gota, Alopurinol, Hiperuricemia
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