PT - JOURNAL ARTICLE AU - Richards, Emma AU - Watts, Emma AU - McClelland, Lisha TI - A rare case of nasal gout AID - 10.1136/bcr-2020-234788 DP - 2020 Oct 01 TA - BMJ Case Reports PG - e234788 VI - 13 IP - 10 4099 - http://casereports.bmj.com/content/13/10/e234788.short 4100 - http://casereports.bmj.com/content/13/10/e234788.full SO - BMJ Case Reports2020 Oct 01; 13 AB - 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.