Tumoral calcinosis is an uncommon condition which
has been described to exist in primary and secondary
forms. A lack of awareness of this entity can lead to
unnecessary procedures and incorrect management.
We report a case of a patient on peritoneal dialysis who
presented with multiple painful joint swellings to the
orthopaedic department. An initial diagnosis of septic
arthritis was made, then revised to chronic tophaceous
gout and referred to the rheumatology unit.