Presentation
48 year old with known gout presents with lumpy swelling dorsum of middle finger right hand.
Patient Data
Age: 48
Gender: Male
From the case:
Gouty tendinopathic change
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Typical lumpy echogenic soft tissue deposits (tophi) in the extensor tendon with some hyperemia.
Case Discussion
This patient also had multiple punched-out bone erosions and other soft tissue tophi.
Tendon involvement is rare in my experience.
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