Tophus of the Pubis Bone: A Case Report

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What to Learn from this Article?

1. Unusual presentation of gout with tophi at pubic bone as the first sign of gout.

2. Differentiation of such lesion from infection and tumor.

Case Report |  Volume 3 | Issue 4 | JOCR Oct-Dec 2013 | Page 35-37 | Oswal CP, Samant A, Shahane S, Pathak P

DOI: 10.13107/jocr.2250-0685.129

Authors: Oswal CP[1], Samant A[1], Shahane S[1], Pathak P[1]

[1]Medical Officer, Department of Orthopaedic Surgery, Dr R N Cooper Hospital, Vile Parle, Mumbai- 400056. India.

Address of Correspondence:

Dr Chetan Prakash Oswal, 363, ShukrawarPeth, Shivaji Road, Pune -411002 Maharashtra. India. Email:


Introduction: Chronic tophaceous gout classically occurs after 10 years or more of recurrent polyarticular gout. However, tophi can also occur as first sign of the disorder.

Case Report: We report the case of a 60 year female with tophaceous involvement of the pubis bone which is an unusual location for this type of pathology without  any  prior manifestation of gouty arthritis.

Conclusion: Tophi can present in unexpected locations, even as the first sign of gout, often mimicking infection and neoplasia and vigilance is required when unusual symptoms or signs occur in a patient with gout.

Keywords: Gout, Tophus, Pubis Bone.


How to Cite This Article: Oswal CP, Samant A, Shahane S, Pathak P. Tophus of the Pubis Bone: A Case Report. Journal of Orthopaedic Case Reports 2013 Oct-Dec ;3(4): 35-37. Available from:

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