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Dermatology Online Journal

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A leg ulcer with hard, yellow projections

  • Author(s): Gomes, N
  • Cerejeira, A
  • Moura, C S
  • Lopes, J M
  • Baudrier, T
  • Azevedo, F
  • et al.

Gout is a multisystem disease that may present in different ways. We report an elderly man who presented with a large ulcer of the left leg with hard yellow projections evolving for one year. Analytical study revealed a normal uric acid level, but histopathology showed a focal basophilic acellular material compatible with a gouty tophus. This tophus represents the cardinal feature of advanced gout and may present several challenges to wound care professionals. In fact, the ulcer in our patient persisted after one-year follow-up. Our aim is to alert clinicians about a rare cutaneous presentation of gout that may be increasingly diagnosed.

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