Article: Watch out for 'pins and needles' in hands--it may be a case of gout

We encountered only three patients of carpal tunnel syndrome (CTS) due to tophaceous gout during 25 years of practice in a 'hand clinic' situated in a large metropolis in West India. In two patients, the CTS was bilateral, a rare occurrence in gout. There was an unwarranted delay (up to 9 years) in the diagnosis of both the ailments. In each case, the site of offending tophus was uniquely different.

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Watch out for 'pins and Needles' in Hands--it May Be a Case of Gout