Table 1. Summary of case reports of the auricular tophi

Date Age/sex Past medical history Gout history (year) Medication Site Size (mm) Chief complaint Treatment
20091) 47/M Hypercholesterolemia alcohol abuse Lovastatin, NSAIDs H, AH, B, M 2-10 6-month history of increasing numbers and size. painful Excisional Bx, allopurinol
19832) 46/M Rheumatoid arthritis for 18 years Aspirin & prednisolone.After taking penicillamine 6 months, he developed proteinuria, AH A chalky deposit Excisional Bx
20193) Middle aged/M Hepertension drinking habit 10 AH Large Pain by friction
20135) 48/M 1 H, M White bumps Curettage
20137) 64/M Lung tuberculosis Antituberculosis therapy H, B, M 2.5 6-month history of painless Excisional Bx
20108) 20/M Non-alcoholic (+) H 10-15 1.5-years of painful nodules Fine needle aspiration cytology
20169) 70/M Multiple sunburns H 5 Firm flesh-colored nodule Shave Bx, Mohs surgery.
201410) 51/M H Painful for lyear Shave Bx
58/M 1 H 10 Painless Shave Bx
85/M H 8 Painless Bx
201111) 66/M Arthritis at 43 YO finger’s tophi at 59 YO (+) H Aspiration
201712) 36/M 10 AH 6 Pain, tenderness Excisional Bx
201613) 40/M Diabetes mellitus 0.5 H, B, M 1-4 Firm and well circumscribed Shave Bx
201314) 49/M Alkaptonuria, SLE complicated with nephrotic syndrome, metabolic syndrome Recently Bumetanide urate-lowering therapy AH Grey-black darkening of auricular cartilage (alkaptonuria)
M: male, NSAIDs: nonsteroidal anti-inflammatory drugs, H: helix, AH: antihelix, B: both, M: multiple, (+) : positive, Bx:biopsy, YO: years old