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Case Reports in Ophthalmological Medicine
Volume 2016, Article ID 9786810, 3 pages
http://dx.doi.org/10.1155/2016/9786810
Case Report

A Rare Case of Lateral Canthal Gouty Tophus Presenting as an Eyelid Mass

1University of Hawaii John A. Burns School of Medicine, Honolulu, HI, USA
2Department of Surgery, University of Hawaii John A. Burns School of Medicine, Honolulu, HI, USA
3Department of Pathology, University of Hawaii John A. Burns School of Medicine, Honolulu, HI, USA
4Queen’s Medical Center, Honolulu, HI, USA

Received 31 July 2016; Revised 24 September 2016; Accepted 13 October 2016

Academic Editor: Kostas G. Boboridis

Copyright © 2016 Austin S. Nakatsuka et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 41-year-old man with a history of gout presented with an enlarging eyelid growth. Clinical examination revealed a mildly indurated nodule at the lateral canthus. Following resection, histopathological examination revealed needle-shaped, crystalline material surrounded by multinucleated giant cells, findings consistent with gouty tophus. This represents just the sixth case of gouty tophus of the eyelid reported in the literature.