Tophaceous gout

Case contributed by Frank Gaillard
Diagnosis almost certain

Presentation

Pain in the right foot.

Patient Data

Age: 30 years
Gender: Male
x-ray

Moderate degenerative changes affect the ankle joints on both sides. Degenerative change is also noted at the talonavicular joints of both feet. Nodular calcification is evident closely applied to the bases of the fourth and fifth metatarsals on the right, with associated erosions. 

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