Multiple gouty tophi in the head and neck with normal serum uric acid:A case report and review of literatures

作     者：Yang Song Zi-Wei Kang Yan Liu 

作者机构：Department of OtorhinolaryngologyThe First Affiliated Hospital of Dalian Medical UniversityDalian 116000Liaoning ProvinceChina 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2022年第10卷第4期

页      面：1373-1380页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Gout Multiple gouty tophi Serum uric acid Hyperuricemia Nasal Case report 

摘      要：BACKGROUND Gouty tophus is rarely reported in the head and neck *** the best of our knowledge,this is the first report on multiple gouty tophi in the head and neck with normal serum uric acid(SUA)*** SUMMARY We report a case of multiple gouty tophi in the nasal dorsal and auricle regions with normal SUA *** patient was admitted to the hospital with a chief complaint of recurrent nasal swelling and pain for 3 years,which was aggravated for 3 *** patient’s SUA level had been regularly reviewed in the outpatient department and had been successfully controlled for several *** of the nasal masses was *** from the right ear cavity was used to repair the nasal *** pathological report confirmed a nasal gouty *** recurrence or deformity was found after a 1 year *** Normal SUA cannot completely negate the diagnosis of gouty tophus,especially in some rare regions.