Tophaceous Gout in Anorexia Nervosa

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We present a case of a 34-year-old woman with tophaceous gout and a history of anorexia nervosa from the age of 17. She presented with recurrent finger pain, which was initially treated as cellulitis. However, multiple subcutaneous nodules developed a year later, and tophaceous gout was diagnosed. Although gout is uncommon in young women, anorexic states carry a risk of hyperuricemia. In addition, the practice of habitual self-induced vomiting and an overuse of laxatives may precipitate gout.