A case of gouty tophus in the elbow of a 62-year-old male is presented. Fineneedle\naspiration (FNA) revealed the presence of acicular crystals, birefringent\nwhen viewed under polarized light as is typical for monosodium urate\ncrystals. Histological study of the removed lesion confirmed a typical gouty\ntophus. We briefly comment the main characteristics of this entity.
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