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Finger pad tophi in gout.

OBJECTIVE
To determine frequency and prevalence of finger pad tophaceous deposits in patients with chronic tophaceous gout.


METHODS
We examined 36 consecutive patients with chronic tophaceous gout for intracutaneous tophaceous urate deposits in the fingers pads. Subjects were patients of outpatient clinics at 2 large university hospitals, Emory and the University of Pennsylvania Affiliated Hospital Systems.


RESULTS
Finger pad tophaceous deposits were found in 30.5%, which was surprising, given how few cases are reported.


CONCLUSION
Finger pad tophi may be more common than generally believed.