Presentation
Acute on chronic foot pain.
Patient Data
Age: 80 years
Gender: Male
From the case:
Tophaceous gout
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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. Generalized fat stranding.
From the case:
Tophaceous gout
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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 favorite for fellowships exam is common pathology in an uncommon modality or location.
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