Gout-Tophi
Tophi are deposits of urate crystals in the joints and soft tissues. They are a manifestation of longstanding and poorly controlled gout. Patients with tophaceous gout can experience polyarticular attacks and symptoms between attacks. Tophi are typically painless but may become acutely inflamed.
Patient 1:
This patient is a young man with long standing gout of unclear etiology
Patient 2:
This is an older man with tophaceous gout.
Image courtesy of “Frameworks for Internal Medicine“
This patient also has acute synovitis of the left elbow.
Patient 3:
This patient is a middle aged man with tophaceous gout
