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Arch Ophthalmol. 2003;121:1195-1197.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Gout is a group of diseases characterized by hyperuricemia that leads to deposition of urate crystals in many tissues of the body, including the joints, skin, bursae, periarticular ligaments, and kidneys.¹ One distinctive pathological finding in patients with gout is the tophus, a deposition surrounded by inflammation.¹ Tophi rarely involve the face. We found only 2 reports of a gouty tophus on the face, one on the upper eyelid near the lateral canthus² and the other on the bridge of the nose.³ We present the clinical and histopathological findings in a patient with what, we believe, is only the second reported case of a gouty tophus adjacent to the eye.

Report of a Case

A 44-year-old man was referred for evaluation of a painless mass near the lateral canthus of the right eye (Figure 1) that had been present and gradually enlarging for approximately 1 year. The lesion had not bled, and . . . [Full Text of this Article]

Pathological Examination

Comment
William R. Morris, MD; James C. Fleming, MD
Memphis, Tenn

Corresponding author: William R. Morris, MD, Department of Ophthalmology, University of Tennessee Health Science Center, 956 Court Ave, Room D-222, Memphis, TN 38163 (e-mail: wmorris@mail.eye.utmem.edu).

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