Gouty tophus: Unusual case of nasal lump

Chronic tophaceous gout is a common disease but rarely found in the head and neck region. Here we report a case of a middle aged male who presented with a mass over the right side of the nasal bridge. CT of the paranasal sinuses revealed a tophi lesion in the right nasal bridge with erosion of the u...

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Bibliographic Details
Published inRadiology case reports Vol. 16; no. 10; pp. 2904 - 2907
Main Authors Shiu, Wai Hung Lester, Cheng, Hei Man Joyce, Chan, Yuet Tin, Chu, Chi Yeung, Kan, Wai Kuen
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.10.2021
Elsevier
Subjects
Case Report
Computed tomography
Gout
Head and neck
Computed tomography
Head and neck
Gout
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Summary:Chronic tophaceous gout is a common disease but rarely found in the head and neck region. Here we report a case of a middle aged male who presented with a mass over the right side of the nasal bridge. CT of the paranasal sinuses revealed a tophi lesion in the right nasal bridge with erosion of the underlying nasal bone. The mass was excised and histologically confirmed to be a gouty tophus. This case report illustrates how a common disease presented in an uncommon location could pose a diagnostic challenge.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2021.06.094