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Updated: May 9, 2026

Granulocyte-dependent Autoantibody-induced Skin Blistering
Published on: October 12, 2012
'Golden Kernels within the skin': disseminated cutaneous gout
Tom Edward Ngo Lo1, Geraldine Zamora Racaza, Ester Gonzales Penserga
1Department of Medicine-Endocrinology, Philippine General Hospital, Manila, Philippines. tomedwardlo@yahoo.com
Abstract:
Presented in this paper is a case of a young Filipino man presenting with recurrent acute gouty flares leading to chronic tophaceous gout and unusual cutaneous manifestations (miliary gout, panniculitis, ulcerations). Unusual sites within the body (torso, shoulder, forearms, thigh) revealed multiple urate dermal deposition. Self-medication with steroids eventually led to secondary Cushing's syndrome and eventual emergence of metabolic complications.
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