Young Onset Polyarticular Tophaceous Gout: Rare and Aggressive

Gouty tophi indicate a symptom of chronic gout as a result of an accumulation of monosodium urate crystals in tissues and joints, which is the most predominantly seen form of inflammatory arthritis in the middle-aged and elderly. The rarity with which it is encountered in young adults makes this a formidable diagnostic challenge. In this report, we describe the clinical and cytopathological features of a rare aggressive case of polyarticular tophaceous gout in a young 25-year-old man with atypical involvement of hands, elbow, ankle, and feet to emphasize the importance of considering this disease entity in the differential diagnosis of multiple soft tissue masses in this age bracket as well.