Symptomatic Tophaceous Gout in the Bilateral Patellae

ABSTRACT

Tophaceous gout is an inflammatory arthropathy caused by hyperuricemia. Gout shows typically episodic acute and chronic pain with arthritis due to synovitis induced by deposition of monosodium urate crystals. Tophus which is deposits of crystals could be formed around mainly peripheral joints such as the first metatarsophalangeal joint but might be presented in any other joints. Even though gout of unilateral patella has been reported severally, tophaceous gout of bilateral patellae has been rarely seen. We present a case of gout of bilateral patellae with literature review.