Gouty Panniculitis: A Case Report and Review of the Literature

Gouty panniculitis, with deposits of urate crystals in the subcutaneous tissue, is a rare dermatologic sequela of gout. We report a case of a 37-year-old Hispanic man who presented with ulcerating nodules on the posterolateral aspect of his legs. An elevated serum uric acid level along with the findings of the histopathologic examination supported a diagnosis of gouty panniculitis. The clinical features, histology, and therapy of this rare manifestation of gout are reviewed.