title: Gouty tophi.
abstract: Gouty tophi presenting as multiple large periarticular masses could be mistaken for rheumatoid nodules, neoplasm, neurofibroma, or infection. Aspiration of synovial fluid from inflamed joints or examination of whitish material expressed though breaks in skin usually assists with the diagnosis of gout.
authors.affiliation: Department of Medicine, University of Tennessee College of Medicine, Chattanooga, TN, USA.
authors.forename: Sarita K
authors.initials: SK
authors.lastname: Sapkota
authors.affiliation: Department of Medicine, University of Tennessee College of Medicine, Chattanooga, TN, USA.
authors.forename: Victor O
authors.initials: VO
authors.lastname: Kolade
authors.affiliation: Department of Medicine, University of Tennessee College of Medicine, Chattanooga, TN, USA ; Erlanger Health System, Chattanooga, TN, USA.
authors.forename: Michael L
authors.initials: ML
authors.lastname: Brit
keywords: gout; hand lesions; tophi