Tophi as first manifestation of gout

Indian Journal of Dermatology, Venereology and Leprology
Sankha KoleyManoj Choudhury

Abstract

Chronic tophaceous gout classically occurs after 10 years or more of recurrent polyarticular gout. However, tophi can also occur as first sign of the disorder. Here we report a 20-year-old male presenting with multiple subcutaneous nodules on bilateral feet and toes, left palm, right elbow, helix of left ear since last one and half year prior to any other manifestation of gout. He was having mild intermittent arthritis since last six months. Fine Needle Aspiration Cytology of one tophus showed monosodium urate crystals, which are pathognomonic for gout. His serum uric acid was normal and ultrasound revealed bilateral nephrocalcinosis. So far as we know, this is the first case report from India, demonstrating tophi as the initial clinical presentation of gout.

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Citations

May 13, 2011·Clinical Medicine & Research·Mohammad Hasan Alemzadeh-Ansari, Mohammad Javad Alemzadeh-Ansari
Apr 24, 2012·Seminars in Arthritis and Rheumatism·Lindsy J Forbess, Theodore R Fields
Jun 9, 2018·Diagnostic Cytopathology·Nidhi GoelVivek Gupta
Oct 21, 2015·The American Journal of Dermatopathology·Kristine M CornejoApril Deng
May 12, 2017·Clinical Rheumatology·Chuan-Chin LuChih-Jung Yeh
May 7, 2020·Case Reports in Plastic Surgery & Hand Surgery·Yukako OkuharaKazunori Yokota
Sep 24, 2015·Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases·Robert S Pinals, Naomi Schlesinger
Jul 31, 2019·Journal of Orthopaedic Surgery and Research·Chao SunHuifang Guo
Jun 6, 2019·Audiology & Neuro-otology·Joe SalibaJeffrey P Harris
Apr 8, 2020·Skin Appendage Disorders·Athina Fonia, Bertrand Richert

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