Multiple subcutaneous periarticular nodules can be because of various causes which include rheumatoid nodules, ganglion cysts, pigmented villonodular synovitis, synovial chondromatosis and synovial sarcoma [5]. Gouty tophus is also an important differential diagnosis. Clinically its diagnosis can be difficult in cases of unusual presentations in the absence of arthritis and / or hyperuricemia. ...
