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Tophus and the toes

 Department of Orthopaedics, Government Medical College, Haldwani, Uttarakhand, India

Date of Submission14-Oct-2022
Date of Acceptance20-Oct-2022
Date of Web Publication23-Nov-2022

Correspondence Address:
Ganesh Singh Dharmshaktu,
Department of Orthopaedics, Government Medical College, Haldwani - 263 139, Uttarakhand
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/injr.injr_181_22

How to cite this URL:
Dharmshaktu GS. Tophus and the toes. Indian J Rheumatol [Epub ahead of print] [cited 2023 Feb 8]. Available from:

Dear Editor,

Poetic expression is a medium of scientific correspondence, that beautifully supplements the academic knowledge by providing a newer perspective and tone that not only generates sympathy but also works as a soothing balm. The importance of narrative or literary voices, as part of the scientific communication, is now being felt across the contemporary academic platforms.[1] Clinical spectrum of gouty affliction in toes, range from a single hot and tender toe to their advanced destructive arthropathy. A short poem in the “free-verse” style is presented here depicting the journey of a tophus for a leisurely literary ride.

A storehouse

Of white putty

Grows bigger

Under my skin,

That house

Feels like oven

Where flares

Puffed my toes

Like hot buns.

Shiny crystals

Abound the

Chalky lake

Of the material

Pure and purine.

The urate needles

Lick my feet

As if

Following a

Pendulum of pain,

And a few

Rub and erode

White pristine

Marble floor

And hinges

Inside big toe.

Swimming in the serum

The crystals shall be

Washed ashore

To newer pastures,

While the storehouse,

Standing dilapidated;

On an overhanging edge,

Looses the ground

One toe at a time.

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Conflicts of interest

There are no conflicts of interest.

  References Top

Saha S, Bhatia A, Gupta L. Perspectives on poetry in rheumatology. Indian J Rheumatol 2022;17:101-2.  Back to cited text no. 1
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