title: Gout nodulosis: report of a rare case and brief review.
abstract: The development of tophi in the absence of prior episodes of gouty arthritis is unusual. We hereby present a case of a non-alcoholic, normoglycemic, and normotensive middle-aged man, who presented with multiple nodules distributed bilaterally over the dorsum of hands, feet, and elbow joints without any prior history of arthritis. Serum uric acid level was found to be normal. Histology was consistent with features of tophi. On the basis of clinical and histological findings, the nodules were diagnosed as gouty tophi and the patient was diagnosed with gouty nodulosis. Gouty nodulosis is a very rare presentation of gout and only a few reports exist in the medical literature.
authors.affiliation: Katihar Medical College and Hospital, Katihar, India. docpiyush@gmail.com.
authors.forename: Piyush
authors.initials: P
authors.lastname: Kumar
authors.forename: Anupam
authors.initials: A
authors.lastname: Das
authors.forename: Sushil S
authors.initials: SS
authors.lastname: Savant
authors.forename: Rajesh Kumar
authors.initials: RK
authors.lastname: Mandal
authors.forename: Shahid
authors.initials: S
authors.lastname: Hassan
mesh_terms: D002908:Chronic Disease; D020405:Dermis / Q000473:pathology; D005534:Foot Diseases; D006073:Gout / Q000097:blood / Q000150:complications* / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D040521:Subcutaneous Tissue / Q000473:pathology; D014527:Uric Acid / Q000097:blood
chemical_list: D014527:Uric Acid