Disseminated Cutaneous Tophi in a Patient with Chronic Tophaceous Gout and Renal Impairment: A Case Report of a Rare Manifestation of Gout

An uncommon presentation of cutaneous dissemination of gout

“…Cutaneous dissemination is a rare, severe manifestation of gout. 2 , 3 Such cases generally present with widespread papulonodules and ulcers involving extraarticular sites. This contrasts with classic tophi, which typically involves cartilage, tendons, and periarticular soft tissue.…”

Disseminated cutaneous gout

“…Cutaneous disseminated gout is a rare, atypical presentation of MSU crystal deposition disease (gout),1 in which lesions manifest as milia-like papules and eruptions 2. Its presence implies a greater burden of MSU, thus requiring early treatment with hypouricemic agents in a similar approach of that of tophaceous gout 3…”