Medial canthal tophus.

  title={Medial canthal tophus.},
  author={D. R. Jordan and M. Belliveau and S. Brownstein and T. McEachren and Maggy Kyrollos},
  journal={Ophthalmic plastic and reconstructive surgery},
  volume={24 5},
A 68-year-old-man was seen in consultation for a suspicious medial canthal lesion that developed over a 2-year period. The raised, nodular lesion was skin colored, had a raised pearly border and a central depression with superficial crusting. Basal cell carcinoma was suspected and an excisional biopsy was performed. However, a granulomatous inflammatory process with features consistent with gout was identified. Further inquiry confirmed a history of gout including prior tophi on each elbow… Expand
A Rare Case of Lateral Canthal Gouty Tophus Presenting as an Eyelid Mass
A 41-year-old man with a history of gout presented with an enlarging eyelid growth, and histopathological examination revealed needle-shaped, crystalline material surrounded by multinucleated giant cells consistent with gouty tophus. Expand
The broad spectrum of urate crystal deposition: unusual presentations of gouty tophi.
Tophi can present in unexpected locations, even as the first sign of gout, and vigilance is required when unusual symptoms or signs occur in a patient with gout. Expand
Review of the ophthalmic manifestations of gout and uric acid crystal deposition
Ocular manifestations of gout are rare and may have been over‐reported in the older literature, but the understanding of the clinic‐pathological features of ocular urate deposits remains limited. Expand
Beyond Joints: a Review of Ocular Abnormalities in Gout and Hyperuricemia
A possible association between ocular abnormalities, hyperuricemia, and gout, including their common risk factors and comorbidities is proposed. Expand
“Comportamiento actualmente infrecuente de múltiples tofos gotosos en un paciente joven con Gota”. A propósito de un caso
Título: Comportamiento actualmente infrecuente de múltiples tofos gotosos en un paciente joven con Gota. A propósito de un caso. Resumen Paciente (JPG) de 43 años de edad, mestizo, casado, atendidoExpand


Medial canthal tophus associated with gout.
Gouty tophus can develop progressively at the medial canthus, especially in people with uncontrolled hyperuricemia, and a formalin-fixed specimen, stained with nonaqueous alcoholic eosin, demonstrates abundant birefringent urate crystals under a polarizing microscope. Expand
Anetodermic variant of pilomatricoma
A 19-year-old man presented with a 6-cm bulla in the right arm, of 3 weeks’ duration, suggesting a keloid, and histological study demonstrated the nodule to be a pilomatricoma, with classic basophilic and phantom cells. Expand
Gouty tophus at the lateral canthus.
The clinical and histopathological findings in a patient with what, it is believed, is only the second reported case of a gouty tophus adjacent to the eye are presented. Expand
Localized conjunctival amyloidosis: case reports and review of literature.
The cases were remarkable for their color, texture, location, and presentation and suggest that a high index of suspicion, if not an alacrity to biopsy, is needed for the diagnosis of primary localized amyloid to be made. Expand
Laryngeal Manifestations of Gout
A 72-year-old woman with a known history of gout who presented with hoarseness and a lesion suspicious for carcinoma of the larynx is presented, revealing a tophus of the true vocal cord with characteristic birefringent crystalline deposits and giant cell granuloma. Expand
A clinical review of 209 pilomatricomas.
Careful clinical examination and a high index of suspicion results in an accurate diagnosis, appropriate treatment, and the avoidance of unnecessarily extensive surgery on Pilomatricomas. Expand
An unusual presentation of anetoderma: a case report
A 14-year-old boy, which was noticed to have had multiple, white, non-pruritic areas on the acral sites of upper and lower extremities for two years, is reported, a case of anetoderma on unusual sites of the skin. Expand
Histopathologic examination of conjunctival tophi in gouty arthritis.
Conjunctival crystals may aid in identifying undiagnosed patients and in addition to conjunctival tophi, patients may also have uveitis, corneal crystals, and band keratopathy. Expand
Benign orbital neurilemoma. Sarcomatous transformation in von Recklinghausen's disease.
  • H. Schatz
  • Medicine
  • Archives of ophthalmology
  • 1971
This paper describes, to this author's knowledge, the first reported case of sarcomatous transformation of a benign neurilemoma of the orbit of a 27-year-old white woman with von Recklinghausen's neurofibromatosis. Expand
Ocular abnormalities in patients with gout.
These findings support the evolving belief that in the past gout was assigned far too important a role as a causative factor in uveitis, and they confirm the well-described clinical picture of red eyes in patients with gout. Expand