[Metastasis of pulmonary origin in a metatarsal head: differential diagnosis of an attack of gout. Literature review of bony metastases of hands and feet].
The osseous metastasis in our patient's first toe has been the initial clinical manifestation of a pulmonary neoplasm and the clinical picture was that of a gout-attack or an other osteoarticular affection. As a rule, primary supradiaphragmatic neoplasia tend to metastasize to the hands whereas primary infradiaphragmatic neoplasia tends to metastasize to the feet. Our patient, who presented a pulmonary tumor with a metastasis in the right foot, did not fit into this schedule.
Aellen
P
P
Service de rheumatologie, médecine physique et réhabilitation, CHUV, Lausanne.
Rivier
G
G
Gerster
J C
JC
D000230:Adenocarcinoma / Q000175:diagnosis / Q000556:secondary*; D000368:Aged; D001859:Bone Neoplasms / Q000175:diagnosis / Q000556:secondary*; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D006073:Gout / Q000175:diagnosis; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology*; D008297:Male; D008684:Metatarsus