Although painless, lumps of crystals can form below the surface of the skin. Once again, this is due to the buildup of uric acid, resulting in small white or yellow bumps. More disfiguring than painful, tophi can develop in undesirable and awkward places. Once tophi have developed on fingertips, for instance, it can be challenging to get dressed or complete common everyday tasks. Typically an indication of severe gout, it’s important to actively try and reduce the level of uric acid within your body to limit the development of these nodules.