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
Ultrasound

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.

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Case information

rID: 39289
Published: 30th Aug 2015
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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