Subtle toe gout erosion

Case contributed by Dr Craig Hacking

Presentation

Pain in second toe

Patient Data

Age: 71
Gender: Female
X-ray

There is a rounded juxta-articular erosion of the medial head of the second toe middle phalanx overhanging edges, suggestive of gout. No other erosion is identified. Associated soft tissue swelling is noted. No soft tissue calcification. Incidental plantar and posterior calcaneal spurs.

Case Discussion

This was the patient's first presentation with gout, confirmed with elevated uric acid levels.

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Case information

rID: 42436
Case created: 20th Jan 2016
Last edited: 1st Mar 2016
Inclusion in quiz mode: Included

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