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Case report
A rare case of nasal gout
  1. Emma Richards,
  2. Emma Watts and
  3. Lisha McClelland
  1. ENT, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
  1. Correspondence to Emma Richards; emma.richards13{at}


Gout is an increasingly common metabolic disorder worldwide. Classical presentation is with acute attacks of arthritis affecting the first metatarsophalangeal joint. With disease progression, tophi may also appear. We present an unusual case of nasal gout in a 55-year-old man who was referred to the Ear, Nose and Throat department with irregularity over the nasal bones and episodic pain. We discuss the work up, diagnosis and management of this case and review the limited literature on this topic.

  • ear
  • nose and throat/otolaryngology
  • metabolic disorders

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  • Contributors ER: planning, confirmation of patient consent, acquisition of data, literature review and drafting of manuscript; EW: planning, editing and approval of manuscript and LM: consultant in charge of patient care, concept, planning, editing and approval of manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.