Interphalangeal joint involvement of the big toe in gout: a rare presentation.
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.
Orthopaedics, Brighton and Sussex University Hospital, Brighton, Sussex, England.
Michael
M
Dobson
Yasir
Y
Alwahab
Muhammad A
MA
Fazal
D000369:Aged, 80 and over; D006073:Gout / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D014033:Toe Joint / Q000473:pathology / Q000503:physiopathology*