Tophaceous gout

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Painful feet swelling.

Patient Data

Age: 35 years
Gender: Male
X-ray

Juxta-articular punched-out erosions of the first and fifth metatarsal heads with overhanging edges are typical for gout. Overlying soft tissue swelling and increased density represent tophi.

Case Discussion

The features on x-rays are consistent with gout which is a crystal arthropathy due to the deposition of monosodium urate crystals in and around the joints.

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Case information

rID: 61234
Published: 24th Jun 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Tabesh medical imaging center

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