• Gout
• Arthritis
• Vasculitis
• Anti-Inflammatory Agents, Non-Steroidal

A 39-year-old man presented at our hospital due to recurrent swelling, redness and pain in his nasal area over the past 2 years. He felt that the dorsal hump of his nose had been progressively growing (figure 1)(A: frontal; B: half side; C: side). Physical examination revealed significant nasal swelling, erythema and tenderness on palpation, but no earlobe pain or swelling. His general condition was good with no underlying hypertension or diabetes mellitus. His only known comorbidity was gout, which was diagnosed 19 years ago. The patient was on urate-lowering therapy …