Gout

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

High uric acid level for few years.

Patient Data

Age: 55 years
Gender: Male
x-ray

Soft tissue swelling / nodule at the medial aspect of first metatarsophalangeal joint with marginal erosions of joint bony margins.

ultrasound

Ultrasonography of 1st metatarsophalangeal joint shows avascular cystic swelling with debris within.

Case Discussion

Pathology report of aspirated material - Needle-shaped crystals.

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