• Info
      • Age: 0
      • Sex: Male
      • Medical history:

        Several months of debilitating pain on the left ankle at the Achilles tendon insertion on the calcaneus and the 1st MTP of the right feet

      • Clinical findings:
        • Elevated uric acid, no known gout
        • swelling on the left ankle at the Achilles tendon insertion and the 1st MTP of the right feet
  • 1: Debilitating pain on the left ankle
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  • X

    Imaging of the right foot.

Tophaceous gout

  • Elevated uric acid is leading to the diagnosis of gout in this patient, despite the lack of characteristic MTP joint involvement.
  • A biopsy from the retro-achillear mass confirmed the diagnosis of tophaceous gout.
  • Symptoms on both sides subsided with colchicine and allopurinol treatment. 

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