This 76 year old gentleman with chronic eczema was found incidentally to have asymptomatic swelling involving both hands for years

King-man Ho

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Clinical history:

This 76 year old gentleman with chronic eczema was found incidentally to have asymptomatic swelling involving both hands for years.

Answer:
A. Gouty tophi

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The slide and the question were prepared by:
Dr King-man Ho, FRCP (Glasg, Edin), MRCP (UK), FHKCP, FHKAM (Medicine)
Consultant Dermatologist-in-Charge,
Social Hygiene Service, PHSB, CHP, DH