To provide information from a review of the literature about chronic ulcers associated with tophaceous gout. This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. After participating in this educational activity, the participant should be better able to:1. Identify the pathophysiology of tophaceous gout, its presentation, phases, and common comorbidities.2. Evaluate the findings in this review regarding effectiveness of interventions for chronic tophaceous ulcers. OBJECTIVE: Treating chronic ulcers associated with tophaceous gout is an uncommon but important clinical challenge. However, treatments vary greatly from topical therapies, to debridements, to free flap wound coverage. To the authors’ knowledge, this is the first study to assemble and compare these different approaches in order to guide effective treatment.

Lam, Ross, Chiu, , , , , , (2017). Nonhealing Ulcers in Patients with Tophaceous Gout: A Systematic Review. Advances in skin & wound care, 2017 May;30(5):230-237. https://www.ncbi.nlm.nih.gov/pubmed/28426572