Gout

Case contributed by Dr Aditya Shetty

Presentation

Swelling of the great toe of left foot

Patient Data

Age: 40 years
Gender: Male
X-ray

X-ray shows juxta-articular erosive changes around the first metatarsophalangeal (MTP) joint with overhanging edges and associated with a moderate soft tissue swelling. However, the joint space is maintained.

No evidence of osteopenia.

 

Case Discussion

This is a case of crystal deposition arthropathy known as gout. Patient had a history of hyperuricemia.

Gout occurs due to deposition of calcium urate crystals. When accumulated in the soft tissue (tophus), this can be seen as well-defined hyperdense area on plain radiograph. The 1st MTP joint is the commonest joint to be involved.

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Case information

rID: 26902
Published: 13th Jan 2014
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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