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Case Reports
. 2023 Feb;71(2):114-117.
doi: 10.1007/s00106-022-01253-y. Epub 2022 Nov 30.

[Tophaceous gout as a differential diagnosis of preauricular tumor]

[Article in German]
Amelie Birk  1 , Klaus Wörtler  2 , Carolin Mogler  3 , Katharina Storck  4
Affiliations
Case Reports

[Tophaceous gout as a differential diagnosis of preauricular tumor]

[Article in German]
Amelie Birk et al. HNO. 2023 Feb.

Erratum in

Abstract
in English, German

Primary gout is a hereditary disorder in nucleotide metabolism. In addition to typical manifestations in the feet, hands, and large joints, there may be rare manifestations in the head and neck. We report a case of tophaceous gout in the temporomandibular joint in a patient who presented with preauricular swelling and progressive hearing impairment. Physical examination showed obliteration of the auditory canal and imaging revealed a destructive process involving the skull base. The diagnosis was confirmed by imaging and biopsy.

Die primäre Gicht ist eine erbliche Störung des Nukleotidstoffwechsels. Neben typischen Manifestationen an Füßen, Händen und den großen Gelenken kann es selten zu atypischen Verläufen im HNO-Bereich kommen. Wir berichten von einem Fall der tophösen Gicht im Temporomandibulargelenk mit Symptomen einer präaurikulären Schwellung und progredienter Hörminderung. Klinisch zeigte sich ein verlegter Gehörgang, bildgebend ein destruierender Prozess, der unter anderem die Schädelbasis involvierte. Die Diagnosesicherung gelang radiologisch und bioptisch.

Keywords: Arthropathy; Gout tophi; Preauricular tumor; Progressive hearing impairment; Temporomandibular joint.

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References

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