DOI: 10.36347/sjams.2019.v07i05.057

Pages: 1974-1976

Gout is a metabolic disorder characterized by uric-acid crystal-induced arthropathy. Pathologically, the cardinal feature is the deposition of Monosodium Urate (MSU) crystals in and around joints, skin and soft tissue leading to formation of nodules, commonly referred to as tophi. We report a case of a 70 year old male who presented with complaint of swelling and pain over right ankle joint since 7-8 years. There was no history of associated pain any trauma or discharge from the swelling. Gouty tophi presenting as ankle joint swelling is relatively uncommon. Also, the clinical presentation of gout only as painless periarticular nodule is not straightforward FNAC smears are superior to histopathology sections where crystals are more commonly lost during processing and fixation. Hence, FNAC has become the choice of investigation.