A rare case of nasal gout

Abstract

Gout is an increasingly common metabolic disorder worldwide. Classical presentation is with acute attacks of arthritis affecting the first metatarsophalangeal joint. With disease progression, tophi may also appear. We present an unusual case of nasal gout in a 55-year-old man who was referred to the Ear, Nose and Throat department with irregularity over the nasal bones and episodic pain. We discuss the work up, diagnosis and management of this case and review the limited literature on this topic.

Tophaceous gout of the nose in a male FMR1 premutation carrier

“…Gouty tophi are features of advanced gout 13 . Gout deposits in the nasal region are quite rare with only 10 cases reported in literature 14 . Previous reports in literature of patients with nasal gout were in middle‐aged men with a history of gouty arthritis.…”

“… 13 Gout deposits in the nasal region are quite rare with only 10 cases reported in literature. 14 Previous reports in literature of patients with nasal gout were in middle‐aged men with a history of gouty arthritis. Here, we present a patient who matches this demographic except at a relatively older age.…”