Nogueira Ana, Duarte Ana F, Morais Paulo, Magina Sofia, Azevedo Filomena
Department of Dermatology and Venereology, Hospital S. João, EPE, Porto, Portugal.
Dermatol Online J. 2009 Jun 15;15(6):9.
A 56-year-old woman presented with a 6 month history of bullae and whitish plaques of the fingers. She had chronic renal failure, but no joint pains or evidence of arthritis. An aspirate of fluid from a bulla revealed uric acid crystals and serum uric acid was elevated at 16.2 mg/dL. A diagnosis of tophaceous gout was made.