Characteristic appearance of large subcutaneous gouty tophi in magnetic resonance imaging
- 19 August 2005
- journal article
- Published by Oxford University Press (OUP) in Modern Rheumatology
- Vol. 15 (4), 290-293
- https://doi.org/10.1007/s10165-005-0401-2
Abstract
The development of multiple large tophi in patients with gout is rare. We report magnetic resonance (MR) and histological features of large subcutaneous tophi in a 32-year-old male patient with no known arthritis. His subcutaneous lesions were confused with a neoplastic process, evaluated by MR imaging, and surgically excised after biopsy. The honeycomb-like appearance on the gadolinium-enhanced images may reflect the characteristic multilobular structure of the tophi composed of avascular urate deposits and surrounding vascularized granulation tissue.Keywords
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