THE CASE: A 50-year-old man
presents to your office with severe
discomfort in the great toe that began
24 hours earlier. He denies any trauma
but says that he may have had
similar symptoms many years before.
He has no recent history of fever
or illness. You aspirate fluid from the
first metatarsophalangeal joint for
Which of the following conditions
in the differential do you suspect?
- Septic arthritis.
- Psoriatic arthritis.
- Gouty arthritis.
- Rheumatoid arthritis.