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    Tophaceous lesion of the middle third of the nose.

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    A69-year-old male with a history of gouty arthropathy, came under our observation with a subcutaneous tophaceous nodule of the medial third of the dorsal portion of the nose (Figure 1), which had appeared 3 years earlier and grew slowly. The nodule, firm and painless, was resected following a perilesional plane of cleavage down to the deep margin of the lesion, which involved the joint between the triangular cartilage and the septum superiorly, and between the septum and the posterior side of the medial crura inferiorly. Given the rarity of presentation of such gouty conditions in the soft tissues of the face1,2 and, to our knowledge, the case reported here is the first to occur in the joints between the cartilages of the nose, tophaceous lesions can hardly be included in the differential diagnosis of swellings of the nasal pyramid. Moreover, tophaceous lesions located on the face do not seem to coincide with a more aggressive picture of the disease

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
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