Unusual Clinical Presentations of Gout

Tony C. Ning; Robert T. Keenan


Curr Opin Rheumatol. 2010;22(2):181 

In This Article

Unusual Dermatological Manifestations of Gout

Tophaceous gout erupting through the skin, exposing its gross histological chalky white appearance is not uncommon. More atypical dermatological manifestations in the form of pustules, ulcerations, and panniculitis have occurred. Apibal et al.[43] described a patient who had an acute, pustular eruption on the hands and feet. The initial aspiration of the pustules revealed negatively birefringent crystals. Also reported recently, a 41-year-old man with a history of gout presented with painful, ulcerated nodules over his lower extremities.[44] Aspiration, curettage, and excision all revealed the presence of gout crystals. Gouty panniculitis, although rare, may mimic an infectious process.[45]


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