Tophaceous gout

Case contributed by Dr Henry Knipe

Presentation

Acute on chronic foot pain.

Patient Data

Age: 80 years
Gender: Male
CT

Polyarticular process with periarticular high density material and calcification, most prominent at the first metatarsophalangeal joint. Associated juxta-articular erosions seen at the first metatarsophalangeal joint. Generalised fat stranding. 

X-ray
Juxta-articular erosions with sclerotic borders seen at the first metatarsophalangeal joint with associated mild soft tissue swelling and calcification. Extensive vascular calcification. Findings are most consistent with gout.

Case Discussion

A favourite for fellowships exam is common pathology in an uncommon modality or location. 

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Case information

rID: 44716
Case created: 2nd May 2016
Last edited: 28th Jun 2016
Inclusion in quiz mode: Included

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