Gout

Case contributed by Shazia Wasim Khan
Diagnosis almost certain

Presentation

Wrist pain

Patient Data

Age: 35 years
Gender: Male
x-ray

A well-circumscribed, oval, juxta-articular punched out erosion with sclerotic borders and overhanging margins is noted in the distal right ulna. The joint space and peri-articular bone density are preserved. Overlying soft tissue swelling is noted.

Case Discussion

This patient was a known case of gout and the lesion has a typical appearance of tophaceous gout.

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