Radiological manifestations of primary gout

Gout is an ancient disease not uncommonly seen in radiological practice. Twenty-two patients of suspected gout were examined over a period of 11 years (1984-1995). There were 20 males and 2 females with ages between 35-70 years. First metatarsophalangeal joint was involved in 18 patients. Tophaceous deposits in hands were seen in one, whereas another patient had urate deposit in the lateral condyle of the humerus. One patient had opaque renal stones bilaterally and lucent stones in the right kidney, confirmed by ultrasound, were observed in one case. All of the patients had hyperuricemia. A definite family history was recorded in only three cases. Two patients in the present series were diabetic.