First metatarsal head gout
Pain and swelling.
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Erosion of the medial margin of the first metatarsal head with overhanging edges. Marked soft tissue swelling overlying the erosion with increased density, in keeping with a tophus.
Smaller erosions of the medial and lateral base of the first proximal phalanx and the lateral margin of the first metatarsal head.
Typical example of gout in a typical location.
The patient had hyperuricaemia.