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Logo of bmjcrInstructions for authorsCurrent ToCBMJ Case Reports
 
BMJ Case Rep. 2010; 2010: bcr09.2009.2266.
Published online Mar 8, 2010. doi:  10.1136/bcr.09.2009.2266
PMCID: PMC3029576
Unusual presentation of more common disease/injury
Can gout mimic a soft tissue tumour?
Leong Wan Hee,1 Vivek Ajit Singh,1 and Pailoor Jayalakshmi2
1University Malaya, Orthopaedics, Lembah Pantai, Kuala Lumpur, 50603, Malaysia
2University Malaya, Pathology, Lembah Pantai, Kuala Lumpur, 50603, Malaysia
Correspondence to Vivek Ajit Singh, drvivek69/at/gmail.com
Abstract
Gout is a disease where an abnormal collection of uric crystals (gouty tophi) can often be found in the foot and ankle. Occasionally such tophies are found at unusual sites and this can pose a challenge to the clinician where diagnosis and treatment is concerned. We describe a patient who presented to our oncology department with a swelling on his right thigh which was clinically diagnosed to be a soft tissue sarcoma, but after further investigations it turned out to be a gouty tophi. The purpose of this case report is to emphasise the variable presentation of gout and the challenges that can be faced by clinicians in diagnosing a soft tissue swelling.
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