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

Int J Dermatol. 2010 Apr;49(4):410-3. doi: 10.1111/j.1365-4632.2010.04283.x.


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.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Diagnosis, Differential
  • Gout / complications*
  • Gout / pathology
  • Humans
  • Leg
  • Male
  • Panniculitis / diagnosis*
  • Panniculitis / drug therapy
  • Panniculitis / etiology
  • Panniculitis / pathology