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Gout Clues

Poll

Can you spot the x-ray evidence to detect the suspected diagnosis?

Radiographic findings may help differentiate chronic gout from other inflammatory arthritides. A radiopaque tophus, a typical finding, is seen over and adjacent to the fifth metatarsophalangeal (MTP) joint (arrowhead).

The arrows on the first and fifth MTP joint point to what other typical gout finding?

Lytic lesions
“Rat bite” or “punched out” erosions
Periarticular osteopenia
Joint-space narrowing
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