Presentation
48 year old with known gout presents with lumpy swelling dorsum of middle finger right hand.
Patient Data
Age: 48
Gender: Male
From the case:
Gouty tendinopathic change
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/41542/annotated_viewer_json?lang=us"}
Typical lumpy echogenic soft tissue deposits (tophi) in the extensor tendon with some hyperemia.
Case Discussion
This patient also had multiple punched-out bone erosions and other soft tissue tophi.
Tendon involvement is rare in my experience.