Case contributed by Dr Aditya Shetty


Swelling of the great toe of left foot

Patient Data

Age: 40 years
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. 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.

PlayAdd to Share

Case information

rID: 26902
Published: 13th Jan 2014
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.