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Chiropractor
Firstly, to clarify - 1 Tophis, many tophi.
Tophi are usually a side effect of long standing gout.
Gout is essentially a type of arthritis that is caused by elevated levels of Uric Acid. The actual attack is when the Uric acid forms crystals(Monosodium Urate) in the problematic joint.
A tophis is essentially formed by the “left over crystal” in the joint that the body can't quite mop up.
I hope that clarifies things for you somewhat.
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Rheumatologist
See this link for pictures of tophi & a description of the damage they cause:
http://bjcconnectedcare.com/2012/09/whats-that-lump-on-your-finger/
Tophi imply years of neglected, underder-treated gout & hyperuricaemia!
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