What are your observations ? What is the pathalogical Diagnosis ?

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Dear Doctors ! Those NODULAR MASSES are TOPHI. A tophus (Latin: "stone", plural tophi) is a deposit of uric acid crystals, in the form of monosodium urate crystals, in people with longstanding hyperuricemia (high levels of uric acid in the blood).  Tophi are pathognomonic for the disease gout. Most people with tophi have had previous attacks of acute arthritis, eventually leading to the formation of tophi. Chronic tophaceous gout is known as Harrison Syndrome.
The hyperpigmentation of the skin & the lean fingers indicate something more serious. Kindly do his S.Uric Acid level,if it is very high then Gout is the right Dx,other wise be alert.
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First detoxification clean your channel Avoid heavy food, milk, sweet,junk, oily Looking lipoma
? Gout. ? Rheumatoid Arthritis
Yes Dr! GOUT.
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Arthritis nodules. Sir
Rheumatoid nodules
Rhumetism?
Rheumatism?
GOUT.
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