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Gout : Radiographic Features

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55 y/o male with painful swelling of foot. There are several well-circumscribed punched-out bony erosions with sclerotic margins, especially at first metatarsophalangeal joints, bilaterally. Juxta-articular soft tissue densities and swelling are also visible. Findings of x-rays are characteristic of tophaceous gout.

The typical appearance of gout on x-ray evaluation is the presence of well-defined “punched-out” erosions with sclerotic margins in a marginal and juxta-articular distribution, with overhanging edges. Tophi are pathognomonic feature of gout.

Case courtesy of Dr Mohammad Taghi Niknejad, Radiopaedia.org. From the case rID: 54276

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