Gout is a form of inflammatory arthritis caused by hyperuricemia characterized\nby painful, hot and swollen joints. However, tophi involving carpal\ntunnel with concomitant presence of finger movement dysfunction as the\nfirst presentation of gout is rare. This suggests the involvement of flexor tendon\ninside the carpal tunnel. Here, we report a case of infiltration of tophi at\nthe flexor tendon of the hand presented as the first clinical manifestation of\ngout causing trigger finger like symptoms. Patient underwent surgery to confirm\nthe diagnosis and improve flexor tendon excursion. Our patientâ??s finger\nmovement improved dramatically after operation.
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