Atypical Presentation of Tophaceous Gouty Lesion: A Case Report

Anas Ahmad Aladnani^1* & Mohammed Al Sobeai²

¹Orthopaedic Surgery, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia
²Department of Orthopedic Surgery, Dr. Soliman Fakeeh Hospital, Jeddah, Saudi Arabia

Dr. Anas Ahmad Aladnani, Orthopaedic Surgery, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia.

Keywords: Lesion; Arthritis; Gout

Abstract

Gout is one of the types of inflammatory arthritis that can affect anyone. It is commonly seen in Orthopedic practice and usually included in the differential diagnosis of mono- or polyarthralgia. Occasionally, the disease is associated with swelling and/or lesion affecting lower limb joints more than other joints in the body. In this case report we present an atypical presentation of gout in a middle aged man presented with relatively large tumor-like lesion in the ankle joint. The treatment of gout is focused on medical more than surgical treatment . Surgery is reserved for large Lesions or Lesions that involve important joints like weight bearing joints to prevent permanent damage and potential disability.

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