Tophus of the Pubis Bone: A Case Report

Learning Point of the Article :
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.

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: chetan375@gmail.com

Article Received : 2013-10-05,

Article Accepted : 2013-10-10

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.

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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 October, 3(10): 35-37.

Tophus of the Pubis Bone: A Case Report

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