Hemolytic anemia with secondary gout

Case contributed by Gagandeep Choudhary
Diagnosis possible

Presentation

Dyspnea with swelling bilateral first metatarsophalangeal joint

Patient Data

Age: 30
Gender: Male

MCP big toe: Marginal well defined erosions, over hanging edges. Preserved joint space relatively. 

Case Discussion

Hemolytic anemia with secondary hyperuricemia causing gout.

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