Gouty arthropathy

Case contributed by RMH Core Conditions


Hand pain.

Patient Data

Age: 85
Gender: Male

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.


Findings are in keeping with known gout.

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Case information

rID: 33846
Published: 29th Jan 2015
Last edited: 9th May 2017
Inclusion in quiz mode: Included

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