Multiple Cutaneous Creamy Papules and Nodules: A Case of Miliarial Gout

Journal of Cutaneous Medicine and Surgery
Mark G KirchhofSheila Au

Abstract

Tophaceous gout is the nonarticular deposition of monosodium urate resulting from a disorder in purine metabolism that causes an elevation of serum uric acid. Cutaneous variants of tophaceous gout include papular, nodular, ulcerative, and pustular forms. We present a case of a 67-year-old man who presented with multiple cutaneous creamy white papules and nodules. A biopsy was taken, and a diagnosis of cutaneous tophaceous gout was made. The treatment and pathophysiology are discussed. Miliarial gout is a rare form of cutaneous tophaceous gout that is treated using xanthine oxidase inhibitors such as allopurinol and febuxostat or uricosurics such as probenecid.

References

Nov 23, 2006·Clinics in Dermatology·Gerald F Falasca
Feb 6, 2007·Journal of Cutaneous Medicine and Surgery·Rahul ShuklaFrank Murphy
Mar 14, 2007·The American Journal of Medicine·Michael P Keith, William R Gilliland
Jan 29, 2008·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Su-Shin LeeSin-Daw Lin
Nov 15, 2008·International Journal of Dermatology·Carleine A C B ThissenGeorges P H Lucker
Mar 1, 2012·Clinical Rheumatology·Francesco BolzettaGiuseppe Sergi

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