Gomes N, Cerejeira A, Moura C S, Lopes J M, Baudrier T, Azevedo F
Department of Dermatovenereology of Centro Hospitalar Universitário de São João, Porto, Porto.
Dermatol Online J. 2020 Apr 15;26(4):13030/qt5jm3j11c.
Gout is a multisystem disease that may present in different ways. We report an elderly man who presented with a large ulcer of the left leg with hard yellow projections evolving for one year. Analytical study revealed a normal uric acid level, but histopathology showed a focal basophilic acellular material compatible with a gouty tophus. This tophus represents the cardinal feature of advanced gout and may present several challenges to wound care professionals. In fact, the ulcer in our patient persisted after one-year follow-up. Our aim is to alert clinicians about a rare cutaneous presentation of gout that may be increasingly diagnosed.
痛风是一种可能以不同方式呈现的多系统疾病。我们报告了一名老年男性，其左腿出现一个大溃疡，伴有坚硬的黄色突起，病程长达一年。分析研究显示尿酸水平正常，但组织病理学显示有局灶性嗜碱性无细胞物质，符合痛风石表现。这种痛风石是晚期痛风的主要特征，可能给伤口护理专业人员带来一些挑战。事实上，我们的患者在随访一年后溃疡仍持续存在。我们的目的是提醒临床医生注意痛风这种可能越来越多地被诊断出的罕见皮肤表现。
