Tophi are small, firm, sometimes painful lumps that form under the skin, often on or near joints. They are a characteristic feature of gout, a type of arthritis caused by high levels of uric acid in the blood. Uric acid forms crystals that can accumulate in joints, triggering inflammation and pain. Over time, the crystals can also build up in soft tissues, resulting in tophi. Tophi are more common in people with advanced gout and can be a sign of long-standing, uncontrolled disease. Treatment options for tophi include medications that lower uric acid levels, as well as surgical removal in some cases. Proper management of gout can help prevent the development of tophi and alleviate symptoms associated with the condition.
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