An unusual case of multiple subcutaneous large tophi.

A 76-year-old man with a 30-year history of gout was admitted for chronic renal failure and the articu-lar pain at the right foot. He was noted to have multiple hard swelling. The swelling developed over 10 years, progressively increasing in size. Physical examination revealed that there were multiple large firm tophi on the hands, both olecranon processes… CONTINUE READING