UNUSUAL LOCALIZATION OF TOPHACEOUS GOUT - A REPORT OF 4 CASES AND REVIEW OF THE LITERATURE

We report four cases with very unusual manifestations of tophaceous go ut. All patients were male, aged between 29 and 67 years, Only one pat ient had an acute gouty arthritis in his medical history, whereas the other three had never developed clinical symptoms from their hyperuric emia. Two patients had gout tophi in the patella, while the others sho wed gout tophi in the space of bipartite bones, one in a bipartite pat ella and one in a tripartite sesamoid bone of the first toe. To our kn owledge, gout tophi in the space of bi- or tripartite bones has never been described before.