Nasal Gouty Tophus

Abstract

A 65-year-old man presented to our clinic for evaluation of a slowly enlarging nasal mass of 6 years' duration, with no nasal obstruction associated with the progression of the mass. He had experienced nasal trauma 8 years earlier. His medical history revealed that he had had gouty arthritis for approximately 20 years. His general practitioner had prescribed allopurinol for his gouty arthritis, but the patient's compliance had been poor. On examination, the patient was found to have a painless mass of the nasal bridge (figure 1). No punctum or fistula of the mass was noted. Intranasal examination revealed smooth nasal mucosa without purulent discharge or intranasal lesion. Computed tomography (CT) of the head confirmed a mass on the nasal bridge, not associated with destruction of bone or other local tissues (figure 2). Con sidering the slowing growth pattern of the mass and Figure 1. Frontal (A) and oblique (B) views in photos obtained at presentation show a mass over the patient's nasal bridge. There is no punctum or fistula of the mass.