Gouty tenosynovitis

Case contributed by Frank Gaillard
Diagnosis almost certain

Presentation

Nodules on dorsum of hand.

Patient Data

Age: Elderly
Gender: Male
ultrasound

Echogenic vascular nodules closely related to the extensor tendons of the hand near the metacarpophalangeal joints. 

Case Discussion

This patient has proven tophaceous gout

Case courtesy of Dr David Pryde. 

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