Massive Tophaceous Gout at Right Elbow Region in 55 Years Old Male

Gouty arthritis is one of the most common inflammatory joint diseases, characterized by monosodium urate crystals in or around the joints that comes from purine metabolism. Risk factors of gout are age, excessive intake of purine, alcohol, obesity, lack of physical activity, hypertension and heart disease, certain drugs, and impaired kidney function. This case presented a 55-year-old male patient with lumps and pain in the right elbow. Uric acid laboratory test results with a level of 9.20 mg/dL. Surgical excision could be the only solution to solve minimally decreased range of motion and aesthetic problems. Metabolic problems should be considered a priority with the patients who have unilateral joints problems.