Lumpy Bumpy Elbows

This 70 year male, with a past history of hyperuricemia and gout for 20 years, presented with arthralgias of large joints for past few months. He has been taking allopurinol and NSAIDS frequently. Clinical examination revealed ulceroexudative lesions on his feet with white pultatious material exudating. JMS 2012;15(2):186.