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Gouty TophiAka: Chonic Tophaceous Gout

See Also
1. Gout
Pathophysiology
1. Monosodium urate crystal deposits in soft tissue
2. Occurs with >10 years of recurrent acute gout attacks
Symptoms
1. Region
  1. Ear helix
  2. Olecranon process
  3. Overlying Interphalangeal joints
  4. Overlying Osteoarthritis-related Nodules (Heberden's Nodes, Bouchard's Nodes)
Differential Diagnosis
1. Rheumatoid Arthritis related subcutaneous Nodules
Labs
1. Nodule aspirate
  1. Monosodium urate crystals identified

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This page was written by Scott Moses, MD. This page was last revised on 11/3/2007 11:26:10 AM. This page was last published on 6/1/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.