PMC8675627_01
Tophus in the scrotum and plaque that covers the entire scrotum.
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Genital exploration revealed a scrotal plaque that embraced the totality of the scrotum, measuring approximately 5 x 8 x 1.5 cm, with a right hemiscrotal pustule and a white, granular, inodorous discharge (Figure 1).
Ultrasound shows an increase in scrotal thickness; areas with increased echogenicity correspond to calcified nodules, some of which project posterior acoustic shadow corresponding to a gouty tophus.
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Scrotal ultrasound revealed multiple soft tissue scrotal calcified nodules (Figure 2).
Scrotum skin biopsy shows abundant eosinophilic and amorphous cellular material at the level of the deep dermis, as well as an inflammatory infiltrate of chronic predominance. Although the biopsy was processed, a few monosodium urate crystals could still be observed under polarized light.
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Pathology report of an excisional biopsy from the ulcerated area of the scrotum was gouty tophus (Figure 3).