Chronic tophaceous gout presenting as hyperpigmented nodules in the limbs of a patient with coexisting psoriasis

Soyun Cho, G. J. Koh, J. H. Choi, K. J. Sung, K. C. Moon, J. K. Koh

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We describe a 53-year-old male renal transplant recipient with hypertension and triglyceridemia, who showed rare manifestations of gout presenting as brownish nodules on the arms and legs as well as chronic tophaceous gouty arthritis of the hands and feet mimicking rheumatoid arthritis, in association with subsequently developed psoriasis of the palms. In elderly Asian men, hypertension and renal insufficiency may be risk factors pre-disposing to the development of multiple hyperpigmented nodules of tophi in the more proximal extremities.

Original languageEnglish
Pages (from-to)433-436
Number of pages4
JournalJournal of Dermatology
Issue number8
StatePublished - 1 Jan 2001


  • Gout
  • Hyperpigmentation
  • Psoriasis

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