Multiple gouty tophi in the head and neck with normal serum uric acid:A case report and review of literatures  

作　　者：Yang Song Zi-Wei Kang Yan Liu 

机构地区：[1]Department of Otorhinolaryngology,The First Affiliated Hospital of Dalian Medical University,Dalian 116000,Liaoning Province,China

出　　处：《World Journal of Clinical Cases》2022年第4期1373-1380,共8页世界临床病例杂志

摘　　要：BACKGROUND Gouty tophus is rarely reported in the head and neck areas.To the best of our knowledge,this is the first report on multiple gouty tophi in the head and neck with normal serum uric acid(SUA)levels.CASE SUMMARY We report a case of multiple gouty tophi in the nasal dorsal and auricle regions with normal SUA levels.The patient was admitted to the hospital with a chief complaint of recurrent nasal swelling and pain for 3 years,which was aggravated for 3 d.The patient’s SUA level had been regularly reviewed in the outpatient department and had been successfully controlled for several years.Resection of the nasal masses was performed.Cartilage from the right ear cavity was used to repair the nasal defects.The pathological report confirmed a nasal gouty tophus.No recurrence or deformity was found after a 1 year follow-up.CONCLUSION Normal SUA cannot completely negate the diagnosis of gouty tophus,especially in some rare regions.

关 键 词：GOUT Multiple gouty tophi Serum uric acid HYPERURICEMIA Nasal Case report 

分 类 号：R589.7[医药卫生—内分泌]