Hyperuric acid and gout are common and frequent diseases in mainland China
With the improvement of people's living standards, the incidence of hyperuricemia and gout is also increasing. According to statistics, there are nearly 200 million patients with hyperuricemia and nearly 20 million gout patients in the mainland. There is a serious misunderstanding about the treatment of gout, thinking that gout is not painful, and the result is that tophi is formed, and serious tophi will break, infect and even endanger life.
GOOD NIGHT
Tophi is ruptured and requires multidisciplinary joint management
The patient's toes and fingers have been chewed by tophi
Recently, our hospital admitted a patient with a tophi rupture and infection. The patient went to the outpatient clinic of Dr. He Yi, deputy director of the Department of Rheumatology and Immunology of our hospital, and the preliminary examination found that the patient had tout stone rupture and exudation in many joints such as toes and ankle joints. After treatment at several local hospitals, the condition was not effectively controlled. Deputy Chief Physician He Yi immediately contacted Gu Zhengtao, chief physician of the Trauma Treatment Center of our hospital, for multidisciplinary consultation. Patients with tophi rupture with infection and severe skin defects require further hospitalization. The patient was admitted to the trauma treatment center of our hospital, and after a series of complete examinations, it was found that the patient not only had tophi rupture, but the bone at the distal end of the fourth toe had been eroded by tophi. Chief physician Gu Zhengtao's team formulated a detailed treatment plan for the patient: thorough tissue debridement and anti-infection treatment, transplantation with pedicle flap; during the period, the Rheumatology and Immunology Department formulated an effective prevention of gout attacks, control uric acid auxiliary treatment plan, and finally the patient's wound healed and discharged.
Wound healing, only the first step has been completed, and the next step will be regular uric acid reduction treatment, which is the key to the future healing of gout.
GOOD NIGHT
The ankle and toes are ulcerated, and the skin defects are healed
GO
Gu Zhengtao: Chief Physician, Doctor of Medicine, Doctoral Supervisor
Gu Zhengtao (outpatient time: every Tuesday morning 8-12:00 a.m.), deputy director of the Trauma Treatment Center of the Third Affiliated Hospital of Southern Medical University, chief physician, doctor of medicine, doctoral supervisor, postdoctoral co-supervisor, good at clinical treatment of severe trauma, critical and difficult trauma and multi-organ dysfunction, trauma repair and tissue regeneration, limb trauma and complex wound repair and reconstruction, soft tissue and peripheral nerve damage and other microsurgical treatment, in the finger/limb reimplantation, reconstruction surgery and limb vascular injury repair technology, comprehensive technology, He has a deep research on the repair of acute, chronic, and refractory wounds caused by muscle soft tissue infections, diabetes, trauma, pressure sores and other causes. He has published nearly 30 SCI papers, nearly 20 core journal papers, and 5 monographs in Cell Death Dis, Acta Pharmacol Sin, J Anesth and other related journals. In recent years, he has presided over many projects such as the National Natural Science Foundation of China, the China Postdoctoral Science Foundation, the Natural Science Foundation of Guangdong Province and the Science and Technology Program Project.