Tophi as first symptom of gout
I have lumps on my finger that are suspected gouty tophi. I will have an ultrasound scan to confirm this shortly and I am expecting confirmation. In the last few days, a small opening developed on my finger and I was able to squeeze out very small amounts of chalky fluid.
Once the diagnosis is confirmed then my doctor will prescribe allopurinol. I understand it is quite unusual for tophi to be the first symptom of gout as it usually forms after someone has been experiencing gout for some years.
A blood test showed my uric acid to be within the normal range. I have now read a fair amount of information about gout and tophi but I do not seem to be a ‘normal’ patient as tophi is my first symptom.
Do you have any advice I should follow at this stage in order to manage the gout that will become a part of my life?
I will form a plan but I think the first step will be to get onto the medication?
Thank you for any advice.