Palmar and Plantar Tophi in Chronic Gout - Takeaways - MDSpire

Palmar and Plantar Tophi in Chronic Gout

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1

A 47-year-old man with chronic gout presented with acute knee pain and firm nodules on various joints and surfaces.
2

Serum uric acid level was 11.1 mg/dL, raising concern for tophi formation.
3

Tophi typically occur in cooler sites, but palmar and plantar involvement is exceptionally rare.
4

Diagnosis at atypical sites can be confirmed by needle aspiration showing negatively birefringent monosodium urate crystals.
5

Accurate diagnosis is crucial as atypical presentations can mimic infections or malignancies, leading to unnecessary procedures.