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Interphalangeal joint involvement of the big toe in gout: a rare presentation
Michael Dobson1, Yasir Alwahab, Muhammad A Fazal
1Orthopaedics, Brighton and Sussex University Hospital, Brighton, Sussex, England.
Abstract:
Atypical presentation of gout can cause diagnostic dilemmas. We report a case of gout that presented with an expansile lytic lesion involving the interphalangeal joint of the hallux, lack of a history of gout, and an associated solitary lung nodule. Magnetic resonance imaging showed an expansile destructive bony lesion with soft-tissue involvement suggestive of a possible bony metastasis. A needle biopsy was performed, and histopathologic features were diagnostic of chronic tophaceous gout.
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