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Program

Ophthalmology

Training Level

Resident PGY 3

Institution

Henry Ford Hospital

Abstract

Gout is a systemic disease characterized by monosodium urate crystal deposition triggering inflammation throughout the body. The authors present a case of a 37-year-old female who presented with bilateral eyelid and canthal lesions. The patient had a tan spherical lesion on her left upper lid, a circumscribed flesh-colored nodule at her left medial canthus, and a more pigmented lesion at her right lateral canthus. Following complete excisional biopsy of all lesions, histopathologic analysis revealed pink fibrillary material with histiocytic reaction in all 3 lesions consistent with gout. Only 6 prior cases of eyelid or canthal tophi have been reported, and this study adds a new case to the few existing reports. The authors emphasize that gouty tophi should remain on the differential for eyelid lesions.

Presentation Date

5-2020

Rare case of gout manifesting as bilateral eyelid lesions

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