Tophaceous Gout with Atypical Localization without Hyperuricemia or an Inflammatory Gout Attack
Hacı Bayram TOSUN, 1 Sancar SERBEST, 2 Murat BALOĞLU, 3 Mustafa Erkan İNANMAZ, 4 Kamil Çağrı KÖSE4
1Department of Orthopedics and Traumatology, Medical Faculty of Adıyaman University, Adıyaman, Turkey
2Department of Orthopedics and Traumatology, Kırklareli State Hospital, Kırklareli, Turkey
3Department of Orthopedics and Traumatology, Çankırı State Hospital, Çankırı, Turkey
4Department of Orthopedics and Traumatology, Medical Faculty of Sakarya University, Sakarya, Turkey
Keywords: Atypical; gout; tophaceous
Abstract
Tophaceous gout which typically develops following recurrent acute attacks, accounts for 10% of all gout cases. Although gout is known as a condition which primarily affects male gender, 5% of the patients are women with the majority being postmenopausal during the first attack. Tophaceous gout is frequently polyarticular in women. A solitary tophus which is seen as a soft tissue mass without inflammatory joint disease can be confused with neoplastic conditions. In this article, we report a 30-year-old female case of tophaceous gout with atypical localization presenting without hyperuricemia or an acute inflammatory gout attack.