Painless gouty tophus in the nasal bridge: A case report and literature review. Issue 11 (March 2019)

• Record Type: Journal Article
• Authors: Chen, Shih-Lung; Chen, Jim-Ray; Yang, Shih-Wei
• Other Names: NA. section editor.
• Is Part Of: Medicine. Volume 98:Issue 11(2019)
• Publication Date: 2019-03
• Subjects: fine needle aspiration cytology -- gouty tophus -- nasal bridge -- ultrasonography; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000014850
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract: Rationale: A gouty tophus, arising from the deposition of monosodium urate crystals (MSU), rarely occurs in the nasal bridge. There have been only 7 documented cases of a gouty tophus in the nasal bridge from 1978 to 2018 in English-language literature. Patient concerns: A 65-year-old male had a chief complaint of a lump in the nasal bridge that was slowly growing for over 1 year. Diagnosis: MSU crystals were confirmed through ultrasonography (US) and pathological examinations. Interventions: A cosmetically less destructive method, ultrasound-guided fine needle aspiration cytology (FNAC) was used to approach the mass lesion of nasal bridge. Outcomes: The diagnosis was confirmed as a gouty tophus without performing a nasal subdermal exploration. Lessons: This case report is the first use of US with FNAC to approach and diagnosed a gouty tophus in the nasal bridge.