Tophus, Gout - DermAtlas - Dermatology Image Atlas

Contributor

Déborah Sforza

Diagnosis

tophus gout

Body Site

ear

Age

48 years

Pigmentation

dark

Organization

grouped, clustered

Color

white/hypo

Morphology

papule

Pattern

symmetric

Comments

This 48-year-old man with a history of gout (recurrent arthritis for the last 8 years) presented with a 10 month history of increasing numbers of gradually enlarging papules of the auricle. The lesions were asymptomatic and the patient denied bleeding or drainage. On physical exam there were several pale, nontender nodules measuring 2 to 8 mm in diameter over both auricles, primarily the helix and antihelix. These were very superficial, well-circumscribed, and with no surrounding erythema or ulceration. The ear is one of the most common sites of tophus formation and is the most common location in the head and neck.

Description

white 2-4 mm white papules some with an erythematous base

Image Added

2/10/2011 21:28:56

Translate

Other Resources

PubMed Medline Plus Medscape

Image Options

View Image in New Window