Presentation
Foot pain and swelling at the big toe.
Patient Data
Age: 70 years
Gender: Male
From the case:
Gout arthropathy


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Soft tissue mass adjacent to the 1st metatarsophalangeal joint and smaller lesion adjacent to the 1st inter-phalangeal joint, representing tophi. Adjacent bony erosions showing overhanging edges.
Case Discussion
The case shows typical features of gouty arthritis with juxta-articular bone erosions showing overhanging edges and adjacent soft tissue tophi.