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Gout

Case contributed by Craig Hacking
Diagnosis certain

Presentation

Foot pain.

Patient Data

Age: 95 years
Gender: Male
x-ray

Punched-out juxta-articular erosions of the first and fifth metatarsal heads with overhanging edges are typical for gout. Overlying soft tissue swelling and increased density represent tophi.

The patient has hyperuricemia.

Case Discussion

Typical features of gout and tophi.

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