Gouty arthritis at interphalangeal joint of foot after sildenafil use: a case report

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dc.contributor.authorAlıcı, Tuğrul
dc.contributor.authorİmren, Yunus
dc.contributor.authorErdil, Mehmet
dc.contributor.authorGündeş, Hakan
dc.date.accessioned2024-07-12T21:04:19Z
dc.date.available2024-07-12T21:04:19Z
dc.date.issued2013en_US
dc.departmentFakülteler, Tıp Fakültesien_US
dc.description.abstractINTRODUCTION: Interphalangeal joint of foot is a very unusual location for gouty arthritis and sildenafil use may cause this phenomenon. PRESENTATION OF CASE: A 58-year-old hypertensive man was admitted to hospital with pain and swelling over interphalengeal joint of his right great toe. His health history included the use of diuretics for a long time and his last gout attack was two years ago at first metatarsophalengeal joint of right foot. Sildenafil, a selective inhibitor of phosphodiesterase type 5 (PDE5), was administered in case of erectile dysfunction for two months. Subsequently, he had several episodes of pain and swelling at first interphalangeal joint of right great toe. Both the onset and recurrence of symptoms were just seen the day after sildenafil use. The patient was free of symptoms after discontinuation of the drug. After an initial evaluation, gout was diagnosed on the basis of synovial fluid analysis. DISCUSSION: This case demonstrates a rare location of gouty arthritis with an uncommon etiology: sildenafil. Regarding the clinical data, the discussion was made to expand the horizon for diagnosis of patients with similar symptoms, to identify risk factors for gout relevant to elderliness, and to review the management of gout. CONCLUSION: Sildenafil use may cause gouty arthritis, and surgical decompression may be helpful for definitive diagnosis and symptom relief in atypical presentation of gout. © 2012 Surgical Associates Ltd. All rights reserved.en_US
dc.identifier.citationAlıcı, T., İmren, Y., Erdil, M. ve Gündeş, H. (2013). Gouty arthritis at interphalangeal joint of foot after sildenafil use: a case report. International Journal of Surgery Case Reports. 4(1), s. 11-14.en_US
dc.identifier.doi10.1016/j.ijscr.2012.08.014
dc.identifier.endpage14en_US
dc.identifier.issn2210-2612
dc.identifier.issue1en_US
dc.identifier.pmid23088905en_US
dc.identifier.scopus2-s2.0-84870562236en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage11en_US
dc.identifier.urihttps://dx.doi.org/10.1016/j.ijscr.2012.08.014
dc.identifier.urihttps://hdl.handle.net/20.500.12415/3775
dc.identifier.volume4en_US
dc.identifier.wosWOS:000219488600004en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.relation.ispartofInternational Journal of Surgery Case Reportsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKY01685
dc.subjectArthritisen_US
dc.subjectGouty/chemically induceden_US
dc.subjectInterphalengeal jointen_US
dc.subjectSildenafilen_US
dc.titleGouty arthritis at interphalangeal joint of foot after sildenafil use: a case reporten_US
dc.typeArticle
dspace.entity.typePublication

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