ISSN Number - pISSN 2250 – 0685 | eISSN 2321-3817

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Tophus of the Pubis Bone: A Case Report


Tophus of the Pubis Bone: A Case Report


[box type=”bio”] What to Learn from this Article?[/box]

1. Unusual presentation of gout with tophi at pubic bone as the first sign of gout.

2. Differentiation of such lesion from infection and tumor.

Case Report |  Volume 3 | Issue 4 | JOCR Oct-Dec 2013 | Page 35-37 | Oswal CP, Samant A, Shahane S, Pathak P

DOI: 10.13107/jocr.2250-0685.129

Authors: Oswal CP[1], Samant A[1], Shahane S[1], Pathak P[1]

[1]Medical Officer, Department of Orthopaedic Surgery, Dr R N Cooper Hospital, Vile Parle, Mumbai- 400056. India.

Address of Correspondence:

Dr Chetan Prakash Oswal, 363, ShukrawarPeth, Shivaji Road, Pune -411002 Maharashtra. India. Email:


Introduction: Chronic tophaceous gout classically occurs after 10 years or more of recurrent polyarticular gout. However, tophi can also occur as first sign of the disorder.

Case Report: We report the case of a 60 year female with tophaceous involvement of the pubis bone which is an unusual location for this type of pathology without  any  prior manifestation of gouty arthritis.

Conclusion: Tophi can present in unexpected locations, even as the first sign of gout, often mimicking infection and neoplasia and vigilance is required when unusual symptoms or signs occur in a patient with gout.

Keywords: Gout, Tophus, Pubis Bone.


How to Cite This Article: Oswal CP, Samant A, Shahane S, Pathak P. Tophus of the Pubis Bone: A Case Report. Journal of Orthopaedic Case Reports 2013 Oct-Dec ;3(4): 35-37. Available from:

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