Severe Refractory Tophaceous Gout

From the ∗Division of Rheumatology, Department of Medicine, University of Southern California Keck School of Medicine, Los Angeles, CA †Division of Rheumatology and Clinical Immunology, Department of Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA. Eaman Alhassan, ORCID ID: 0000-0002-1459-7376 The author declares no conflict of interest. Correspondence: Eaman Alhassan, MD, Division of Rheumatology and Clinical Immunology, Department of Medicine, University of Pittsburgh Medical Center, Falk Medical Bldg, 3601 Fifth Ave, 2B, Pittsburgh, PA 15213. E-mail: [email protected].