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Subtle toe gout erosion

Case contributed by Craig Hacking
Diagnosis certain

Presentation

Pain in second toe

Patient Data

Age: 70 years
Gender: Female

Right foot

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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