Abstract:A 36-year-old man presented with progressive enlargement of a nodule-like mass lesion on the right auricle for 2 years. He denied any event of trauma or insect bite injury related to the lesion. Although there had been no discomfort initially, pain, swelling, and compression tenderness during sleeping on the right side were noted as the mass increased in size. On examination, a well-circumscribed and elevated subcutaneous
“…6) However, a PubMed search yielded just a few articles specifically addressing ATs (Table 1). [1][2][3]5,[7][8][9][10][11][12][13][14] Interestingly, all of the patients were male. Gout itself, is more common in males.…”
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.
“…6) However, a PubMed search yielded just a few articles specifically addressing ATs (Table 1). [1][2][3]5,[7][8][9][10][11][12][13][14] Interestingly, all of the patients were male. Gout itself, is more common in males.…”
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.
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