A Rare Case Of Gout Nodulosis

The development of tophi in the absence of prior episodes of gouty arthritis is unusual. We hereby present a case of normoglycemic, and normotensive middle-aged female, who presented with painful nodule over the right foot without any prior history of arthritis. Serum uric acid level was found to be normal. Histology was consistent with features of tophi. On the basis of clinical and histological findings, the nodule was diagnosed as gouty tophi and the patient was diagnosed with gouty nodulosis. Gouty nodulosis is a very rare presentation of gout and only a few reports exist in the medical literature