Whitish bullae on the fingers: what is the diagnosis? Tophaceous gout.
A 56-year-old woman presented with a 6 month history of bullae and whitish plaques of the fingers. She had chronic renal failure, but no joint pains or evidence of arthritis. An aspirate of fluid from a bulla revealed uric acid crystals and serum uric acid was elevated at 16.2 mg/dL. A diagnosis of tophaceous gout was made.
Nogueira
Ana
A
Department of Dermatology and Venereology, Hospital S. João, EPE, Porto, Portugal. anacatu@hotmail.com
Duarte
Ana F
AF
Morais
Paulo
P
Magina
Sofia
S
Azevedo
Filomena
F
D005260:Female; D005385:Fingers; D006073:Gout / Q000473:pathology*; D006229:Hand Dermatoses / Q000473:pathology*; D006801:Humans; D008875:Middle Aged; D012872:Skin Diseases, Vesiculobullous / Q000473:pathology*