Multiple gouty tophi in the head and neck with normal serum uric acid: A case report and review of literatures

Figure 1 Multiple gouty tophi.

Figure 2 Preoperative physical examination. A: Preoperative frontal view; B: Nasal endoscope, nasal septum: obvious hypertrophy and swelling of the left upper mucosa of the nasal septum, middle turbinate, inferior turbinate. NS: Nasal septum; MT: Middle turbinate; IT: Inferior turbinate.

Figure 3 The head and neck computed tomography scan displayed a mottled radiopaque mass crossed over the nasal ridge. The boundary was clear, the size approximately 1.7 cm × 1.3 cm, the plain scan computed tomography (CT) value approximately 22-96 HU, the enhanced scan CT values approximately 25-104 HU and 14-109 HU, and the left nasal bone locally discontinuous.

Figure 4 Postoperative histopathological examination.

Figure 5 One year after operation, there was no deformity of nasal bridge and no recurrence of gouty tophus.