Gout Clues

March 29, 2017

Can you spot the x-ray evidence to detect the suspected diagnosis?

Radiographic findings may help differentiate chronic gout from other inflammatory arthritides. A radiopaque tophus, a typical finding, is seen over and adjacent to the fifth metatarsophalangeal (MTP) joint (arrowhead).

The arrows on the first and fifth MTP joint point to what other typical gout finding?