Case contributed by Dr Aditya Shetty


Swelling of the great toe of left foot with h/o of hyperuricemia

Patient Data

Age: 40
Gender: Male

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.

Gout occurs due to deposition of calcium urate crystals which are seen as well defined hyperdense area on plain radiograph known as a tophus.

1st MTP joint is the commonest joint to be involved.

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Case information

rID: 26902
Case created: 13th Jan 2014
Last edited: 26th May 2016
Inclusion in quiz mode: Included

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