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Gouty tophus: Unusual case of nasal lump
Wai Hung Lester Shiu1, Hei Man Joyce Cheng1, Yuet Tin Chan1
1Department of Radiology, Pamela Youde Nethersole Eastern Hospital, Hong Kong, People's Republic of China.
Abstract:
Chronic tophaceous gout is a common disease but rarely found in the head and neck region. Here we report a case of a middle aged male who presented with a mass over the right side of the nasal bridge. CT of the paranasal sinuses revealed a tophi lesion in the right nasal bridge with erosion of the underlying nasal bone. The mass was excised and histologically confirmed to be a gouty tophus. This case report illustrates how a common disease presented in an uncommon location could pose a diagnostic challenge.
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