Auricular Multiple Tophi Presenting as Painful Bilateral Nodules: A Case Report and Literature Review

Abstract

Gout tophus is most commonly found in the lower extremities such as toes and ankles. The auricle is a rare site for gout tophi. Although auricular tophus (AT) is not life threatening, it is important because it can be misdiagnosed as other diseases including malignancy. ATs are firm deposits of crystallized uric acid, which may gradually grow at the subcutaneous layer of the auricle. ATs can be treated with dietary modification and medication for a long time. When pain persists, cosmetic deformity is concerned, or prompt resolution of those symptoms are required, surgical excision is worth considering. Here, we report the case of a patient presenting with multiple bilateral auricular painful nodules. Thorough questioning regarding medical history revealed that the patient had a history of untreated gout. Histopathological examination confirmed the diagnosis of AT. So, we report this case with review of literatures.