| The diagnosed prevalent cases are then further segmented by the number of cases of gout flares and tophaceous gout. |
| Attacks increase in frequency and extensiveness and the disease eventually becomes chronic, tophaceous and polyarticular with systemic complications and nephropathy. |
| On gross pathologic examination, tophaceous gout deposits appear as yellow-white chalky material. |
| Tophaceous gout of the spine can occasionally be the disease's primary presentation. |
| Chronic gout is often associated with the development of tophaceous deposits within cartilage, synovial membranes, bursae, and tendons. |
| Tophaceous Gout with Atypical Localization without Hyperuricemia or an Inflammatory Gout Attack. |
