Gouty tendinopathic change

Case contributed by Dr David Pryde

Presentation

48 year old with known gout presents with lumpy swelling dorsum of middle finger right hand.

Patient Data

Age: 48
Gender: Male
Modality: Ultrasound

Typical lumpy echogenic soft tissue deposits (tophi) in the extensor tendon with some hyperaemia.

Case Discussion

This patient also had multiple punched-out bone erosions and other soft tissue tophi.

Tendon involvement is rare in my experience.

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Case Information

rID: 39289
Case created: 30th Aug 2015
Last edited: 8th Feb 2017
Inclusion in quiz mode: Included

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