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Gender: Male
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![](https://prod-images-static.radiopaedia.org/images/1991164/a2af14a87af3c0f57bb9485b5c1f67537568aa523bc83b252825cfd2b592b250_big_gallery.jpeg)
Anteroposterior foot radiograph shows juxta-articular punched-out sclerotic erosions involving the first metatarsophalangeal and interphalangeal joints with associated periarticular soft tissue swelling. Rounded lucencies at the base of the third metatarsal may represent either erosions or intraosseous tophi.