title: 'Golden Kernels within the skin': disseminated cutaneous gout.
abstract: Presented in this paper is a case of a young Filipino man presenting with recurrent acute gouty flares leading to chronic tophaceous gout and unusual cutaneous manifestations (miliary gout, panniculitis, ulcerations). Unusual sites within the body (torso, shoulder, forearms, thigh) revealed multiple urate dermal deposition. Self-medication with steroids eventually led to secondary Cushing's syndrome and eventual emergence of metabolic complications.
authors.affiliation: Department of Medicine-Endocrinology, Philippine General Hospital, Manila, Philippines. tomedwardlo@yahoo.com
authors.forename: Tom Edward Ngo
authors.initials: TE
authors.lastname: Lo
authors.forename: Geraldine Zamora
authors.initials: GZ
authors.lastname: Racaza
authors.forename: Ester Gonzales
authors.initials: EG
authors.lastname: Penserga
mesh_terms: D000328:Adult; D006073:Gout / Q000150:complications* / Q000473:pathology*; D006801:Humans; D008297:Male; D012871:Skin Diseases / Q000209:etiology* / Q000473:pathology*