Gouty panniculitis in a 68-year-old man: case report and review of the literature


Tanja Weberschock, md
Universitäts-Hautklinik Heidelberg
Vossstr. 2
69115 Heidelberg
E-mail: tanja.weberschock@med.uni-heidelberg.de


Background  Gouty panniculitis is a very rare disease. To date, only eight patients have been reported. In each case, time to diagnosis was lengthy. We describe a 68-year-old man with a 6-month history of tender, erythematous plaques and nodules involving the anterior aspects of the legs

Methods and results  Histologic examination led to the diagnosis of gouty panniculitis.

Conclusion  Review of the literature and the present case suggests that hyperuricemia is a necessary but probably not sufficient condition for gouty panniculitis. Why gouty panniculitis very seldom arises as a manifestation of gout is puzzling. In almost all reported patients, uricostatic or uricosuric therapy leads to clinical improvement of the disease.