The Editor,

Sir,

Gouty arthritis most often begins as monoarticular arthritis in a lower extremitiy, predominantly the first metatarsophalangeal joint; however, if left untreated polyarticular involvement and development of tophi becomes more and more frequent as time passes by, especially during the chronic gouty arthritis stage (1, 2). In this stage, due to the presence of polyarthritis and subcutaneous nodules, which are typically seen in rheumatoid arthritis (RA), chronic polyarticular tophaceous gout may masquerade as RA (2, 3). Herein, we present an unusual case of chronic polyarticular gout masquerading as RA.