A subglottic tophaceous deposition of urate crystals is a rare finding. We
report on a case of a male Caucasian who had a moderate dysphonia. without
any further laryngeal symptoms. The laryngoscopy revealed a hemispheric les
ion on the left subglottic region. An excision biopsy was performed, and th
e histopathological examination of the dissected specimen showed a tophus.
Diagnostic and therapeutic strategies are discussed. (C) 2001 Elsevier Scie
nce Ireland Ltd. All rights reserved.