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Osteomyelitis - middle toe distal phalanx

Case contributed by Bruno Di Muzio
Diagnosis almost certain

Presentation

Skin ulcer and inflammatory changes of the right third toe

Patient Data

Age: 70 years
Gender: Male

Forefoot radiographs

x-ray

There is partial destruction of the distal phalanx of the third toe associated with soft tissue swelling. Joint spaces and the remainder of the imaged bones are preserved. 

Case Discussion

In this clinical context, osteomyelitis is the most likely cause of the tuft destruction of the third toe.

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