Rheumatology Book


Gouty Tophi

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

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