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Int J Dermatol. 2010 Apr;49(4):410-3. doi: 10.1111/j.1365-4632.2010.04283.x.

Gouty panniculitis in a 68-year-old man: case report and review of the literature.

Author information

1
Department of Dermatology, University Hospital Heidelberg, Heidelberg, Germany. tanja.weberschock@med.uni-heidelberg.de

Abstract

BACKGROUND:

Gouty panniculitis is a very rare disease. To date, only eight patients have been reported. In each case, time to diagnosis was lengthy. We describe a 68-year-old man with a 6-month history of tender, erythematous plaques and nodules involving the anterior aspects of the legs.

METHODS AND RESULTS:

Histologic examination led to the diagnosis of gouty panniculitis.

CONCLUSION:

Review of the literature and the present case suggests that hyperuricemia is a necessary but probably not sufficient condition for gouty panniculitis. Why gouty panniculitis very seldom arises as a manifestation of gout is puzzling. In almost all reported patients, uricostatic or uricosuric therapy leads to clinical improvement of the disease.

[Indexed for MEDLINE]

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