title: Nasal gouty tophus: Report a rare case presenting as a nasal hump with nasal obstruction.
abstract: Dorsal nasal gouty tophus are rare occurrences with limited documentation. Here we report a male patient who has a history of poorly controlled gouty arthritis. He had nasal obstruction with an enlarging mass over his left nasal ridge for the past three years. Image studies revealed a nasal bone defect underneath the nasal lesion. The firm mass was excised and confirmed to be of gouty origin. The nasal bone defect was repaired with a titanium mesh plate to prevent nasal depression. He has fully recovered with no more nasal obstruction or recurrence of nasal tophus. The case report illustrates a common illness, gout, with a rare clinical manifestation leading to a common symptom, nasal obstruction. It demonstrates the importance of a detailed history, a thorough physical examination and most important of all, an extensive differential diagnosis in our clinical practice.
authors: Craniofacial Research Center, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, Taiwan.
authors: John Chung-Han
authors: JC
authors: Wu
authors: Craniofacial Research Center, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, Taiwan.
authors: Pang-Yun
authors: PY
authors: Chou
authors: Craniofacial Research Center, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, Taiwan. Electronic address: chihhaochen5027@yahoo.com.tw.
authors: Chih-Hao
authors: CH
authors: Chen
mesh_terms: D003937:Diagnosis, Differential; D006073:Gout / Q000175:diagnosis*; D006801:Humans; D015508:Nasal Obstruction / Q000175:diagnosis*; D012008:Recurrence
keywords: Bone; Gouty tophus; Nose