Gouty arthropathy

Case contributed by RMH Core Conditions

Presentation

Hand pain.

Patient Data

Age: 85
Gender: Male
X-ray

The third proximal interphalangeal joint demonstrates gross abnormality with periarticular erosions with overhanging margins, subluxation with loss of joint space and mild periarticular osteopaenia.

Associated periarticular dense soft tissue swelling, representing soft tissue tophus.

Tiny fragment of bone projected adjacent to the PIP joint.

Widening of the scapholunate interval to reflect synovitis secondary to gout.

Conclusion:

Findings are in keeping with known gout.

PlayAdd to Share

Case information

rID: 33846
Case created: 27th Jan 2015
Last edited: 9th May 2017
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

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

Alert accept Thank you for updating your details.