Cytodiagnosis of Gout – A rare case report

Fine Needle Aspiration Cytology (FNAC) is very valuable in diagnosis of a periarticular lesions and thereby confirming the nature of an associated arthritic process. Gout is a disorder of uric acid metabolism that causes deposition of monosodium urate crystals in the joint spaces. It often presents with painful joint effusion or swelling over toes. Radiological features may also be atypical and misleading. FNAC of gouty tophi is an easy alternative to synovial biopsy or fluid analysis since it is much less traumatic and simpler and thus should be encouraged in clinical practice. This case report of gouty tophi at the left knee is presented because of its rarity.