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Recently Painful Longstanding Lesion on Thumb

Recently Painful Longstanding Lesion on Thumb

Gouty tophus

A 70-year-old man sought medical attention for a white lesion with surrounding erythema on the thumb of his right hand. The lesion had been present for many years and had recently become inflamed and painful. He had no other symptoms. No other areas were affected. His medical history was unremarkable, and he was not taking any medications.

What is your diagnosis?
A. Reynaud's Syndrome
B. Bowen disease
C. Gouty tophus
D. Verruca plantaris


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