Derm

Gouty Tophi

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Gouty Tophi, Chonic Tophaceous Gout

  • See Also
  1. Gout
  • Pathophysiology
  1. Monosodium urate crystal deposits in soft tissue
  2. Occurs with >10 years of recurrent acute gout attacks
  • Symptoms
  1. Region
    1. Ear helix
    2. Olecranon process
    3. Overlying Interphalangeal joints
    4. Overlying Osteoarthritis-related Nodules (Heberden's Nodes, Bouchard's Nodes)
  • Differential Diagnosis
  1. Rheumatoid Arthritis related Subcutaneous Nodules
  • Labs
  1. Nodule aspirate
    1. Monosodium urate crystals identified