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Images of Memorable Cases: Case 30

Module by: Herbert L. Fred, MD, Hendrik A. van Dijk

Case_30-pres1-1.jpg

Case_30-pres1-2.jpg

30. Tophaceous gout

The nodules on this patient’s finger, ear, toe, and external maleolus are tophi. Diagnostic proof emerged when the tophus on her finger discharged chalky-white material containing needle-shaped sodium urate crystals that were negatively birefringent under polarized light microscopy.

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