Presentation
Painful feet swelling.
Patient Data
Age: 35 years
Gender: Male
From the case:
Tophaceous gout
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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.