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Can gout mimic a soft tissue tumour?
Author(s) -
Leong Wan Hee,
Vivek Ajit Singh,
Jayalakshmi Pailoor
Publication year - 2010
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr.09.2009.2266
Subject(s) - gout , medicine , soft tissue , ankle , soft tissue sarcoma , presentation (obstetrics) , uric acid , thigh , dermatology , surgery , radiology , pathology
Gout is a disease where an abnormal collection of uric crystals (gouty tophi) can often be found in the foot and ankle. Occasionally such tophies are found at unusual sites and this can pose a challenge to the clinician where diagnosis and treatment is concerned. We describe a patient who presented to our oncology department with a swelling on his right thigh which was clinically diagnosed to be a soft tissue sarcoma, but after further investigations it turned out to be a gouty tophi. The purpose of this case report is to emphasise the variable presentation of gout and the challenges that can be faced by clinicians in diagnosing a soft tissue swelling.

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