T Weberschock1, P Gholam, W Hartschuh, M Hartmann. 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.
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.
Authors: Jorge Luis Gaviria; Viviana Gómez Ortega; Jennifer Gaona; Adriana Motta; Oskar Javier Medina Barragán Journal: Plast Reconstr Surg Glob Open Date: 2015-08-10