Rare Copresent Rheumatoid Arthritis And Tophaceous Gout

Gout is a disorder of purine metabolism characterised by hyperuricemia, deposition of monosodium urate monohydrate crystals in joints and periarticular tissues with recurrent attack of acute synovitis. Rheumatoid arthritis (RA) and gout are relatively common disease, but their coexistence is extremely rare. We report a case of 69yrs old female on presentation likely to have rheumatoid arthritis on evaluation diagnosed to have Polyarticular gout. The coexistence of gout and RA in our patient is unquestionable. She had evidence of seropositive destructive RA, hyperuricemia, acute gout, and MSU crystals. We describe a rare occurrence of concomitant gout and RA in a patient with multiple intradermal tophi.