Kiesselbach’s area nasal septal gouty tophus with an integrated “3 + 2” diagnostic algorithm: a case report

This case highlights the importance of considering gouty tophus in atypical nasal masses, especially in patients with gout history. Dual-energy computed tomography is a valuable diagnostic tool. We propose a practical "3 + 2" diagnostic algorithm to aid early recognition, although further validation in larger series is needed.

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Publication Details

Journal
Journal of Medical Case Reports
Published
2025-11-28
DOI
https://doi.org/10.1186/s13256-025-05691-4
Primary Topic
Gout, Hyperuricemia, Uric Acid
Type
article
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article

Kiesselbach’s area nasal septal gouty tophus with an integrated “3 + 2” diagnostic algorithm: a case report

Jun Zhong, Danling Guo, Ziyue Wang, Ziwen Shi et al.
Journal of Medical Case Reports
Gout, Hyperuricemia, Uric Acid
article

Kiesselbach’s area nasal septal gouty tophus with an integrated “3 + 2” diagnostic algorithm: a case report

Jun Zhong, Danling Guo, Ziyue Wang, Ziwen Shi, Wanling Chen, Wei‐liang Chen
article en

Abstract

This case highlights the importance of considering gouty tophus in atypical nasal masses, especially in patients with gout history. Dual-energy computed tomography is a valuable diagnostic tool. We propose a practical "3 + 2" diagnostic algorithm to aid early recognition, although further validation in larger series is needed.

Journal of Medical Case ReportsVol. 19(1)
Sun Yat-sen University (CN), Sun Yat-sen Memorial Hospital (CN)
Openalex Percentile: Top 56%
Gout, Hyperuricemia, Uric Acid
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