Primary Gouty Tophi Involving the Eyelid

Author:

Meyer Anne M.1,Dai Hongyan2,Sokol Jason A.3

Affiliation:

1. Department of Plastic Surgery, University of Kansas Medical Center

2. Department of Pathology, University of Kansas Medical Center

3. Department of Ophthalmology, University of Kansas Medical Center, Kansas City, Kansas, U.S.A.

Abstract

A 51-year-old male with no known history of gout was referred by his optometrist for bilateral lower eyelid cysts near the puncta. The lesions were not painful but were cosmetically concerning and excision was desired. Utilizing local anesthesia, the lesions were excised and sent to pathology for review. Pathology noted lesions to be “gouty tophus.” Given that our patient had no history of gout, this is the first case report of gouty tophus on the eyelid being the initial manifestation of gout.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Reference14 articles.

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4. The broad spectrum of urate crystal deposition: unusual presentations of gouty tophi.;Forbess;Semin Arthritis Rheum,2012

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