Indian Journal of Dermatology
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Year : 2005  |  Volume : 50  |  Issue : 2  |  Page : 80-83

Tophaceous Gout : A rare Case With Nasal Perforation

Correspondence Address:
Anand J Asia

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Gout is a disease caused by persistent hyperuricemia leading to deposition of urates in the bones and tissues. In the absence of treatment, the typical initial attack of arthritis evolves towards chronic tophaceous gout. Tophaceous gout along with subcutaneous lesions is rarely seen today, We report a 51 year old male with history of recurrent joint pain in the past, presenting with multiple soft to firm nodules on the hands and abscess-like lesions on right hand and both feet with hyperuricemia. Patient also had nasal perforation, advanced case of chronic tophaceous gout. Although gouty involvement of nasal cartilage has been reported earlier, nasal perforation is a new manifestation seen.

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