Gouty Tophus Quiz

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Scott Nass

Scott Nass, MD, MPA, FAAFP, AAHIVS (GP / Family doctor)

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Learn more about Gouty tophus

Content updated on Nov 2, 2022

What is gouty tophus?

It is a type of chronic arthritis, usually chronic rheumatoid arthritis which occurs due to excessive production or reduced clearance of uric acid which accumulate as uric acid crystals in the joints. Risk factors include genetics, excessive Alcohol consumption, Diet with excessive sugars or protiens, certain medications and male sex.

Symptoms of gouty tophus

  • Red or yellow skin lumps

  • Lumps under the skin

  • Sores or ulcers of the skin

Questions your doctor may ask to check for gouty tophus

Your doctor may ask these questions to diagnose gouty tophus

  • Do you have yellow or red lumps/bumps on your skin?

  • Do you feel a lump/lumps under your skin?

  • Do you have skin ulcers (sores)?

Treatment for gouty tophus

Treatment includes adequate hydration, reducing alcohol consumption, medication to prevent uric acid accumulation and anti-inflammatory medication

View the symptoms of Gouty tophus


  • Chhana A, Dalbeth N. The gouty tophus: a review. Curr Rheumatol Rep. 2015 Mar;17(3):19. doi: 10.1007/s11926-014-0492-x. PMID: 25761926.


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Shohei Harase, MD


Kameda Medical Center, Japan

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Yotsuya Yui Clinic, Japan

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Yoshinori Abe, MD

Internal medicine

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Rohini R, MD

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Seiji Kanazawa, MD, PHD

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