title: Whitish bullae on the fingers: what is the diagnosis? Tophaceous gout.
abstract: 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.
authors.affiliation: Department of Dermatology and Venereology, Hospital S. João, EPE, Porto, Portugal. anacatu@hotmail.com
authors.forename: Ana
authors.initials: A
authors.lastname: Nogueira
authors.forename: Ana F
authors.initials: AF
authors.lastname: Duarte
authors.forename: Paulo
authors.initials: P
authors.lastname: Morais
authors.forename: Sofia
authors.initials: S
authors.lastname: Magina
authors.forename: Filomena
authors.initials: F
authors.lastname: Azevedo
mesh_terms: D005260:Female; D005385:Fingers; D006073:Gout / Q000473:pathology*; D006229:Hand Dermatoses / Q000473:pathology*; D006801:Humans; D008875:Middle Aged; D012872:Skin Diseases, Vesiculobullous / Q000473:pathology*