An inflammatory arthriti leading to an acutely red, hot, swollen joint, which can progress to a chronic tophaceous joint that is associated with pain, nodule formation, and cutaneous...
Intensely painful acute inflammatory arthritis, usually a gout flare, affecting a lower limb joint, which can be self-limited over a period of...
Pharmacologic treatment should be initiated wit...
Serum uric acid measurements q2–5wk while titrating urate-lowering treatment to goal
Regularly monitor CBC, renal function, liver function test, ...
M10.269 Drug-induced gout, unspecified knee
M10.161 Lead-induced gout, right knee
M10.221 Drug-induced gout, right elbow
M10.152 Lead-induced gout, left hip
M10.232 Drug-induced gout, left wris...
Acute gouty arthritis can affect ≥1 joint; the 1st metatarsophalangeal joint is most commonly involved at presentation (podagra).
Monosodium urate crystals found in synovial fluid aspir...
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Chronic tophaceous gout involving the hands and wrists.
Gout in Knee Labeled
Gouty (uric acid) tophi in a middle-aged woman with longstanding gout
<bold>FIG. 4.4.</bold> This "chalky" substance was aspirated from a patient's inflamed olecranon bursa, an appearance that is virtually diagnostic of tophaceous gout.
<bold>FIG. 4.4.</bold> This "chalky" substance was aspirated from a patient's inflamed olecranon bursa, an appearance that is ...
<bold>Fig B 10-17. Gout.</bold> Two examples of typical rat-bite erosions about the first metatarsophalangeal joint (arrows). The cystlike lesions have thin sclerotic margins and characteristic overhanging edges.
<bold>Fig B 10-17. Gout.</bold> Two examples of typical rat-bite erosions about the first metatarsophalangeal joint (arrows). ...
<bold>Fig B 10-18. Gout.</bold> Diffuse deposition of urate crystals in periarticular tissues of the hand produce multiple large, lumpy soft-tissue swellings representing gouty tophi. Note the erosive changes that typically involve the carpal bones and the distal interphalangeal and metacarpophalangeal joints of the fifth digits.
<bold>Fig B 10-18. Gout.</bold> Diffuse deposition of urate crystals in periarticular tissues of the hand produce multiple lar...
Figure 10-207 <bold>SKELETAL DISTRIBUTION OF GOUT.</bold>
Figure 10-210 <bold>GOUT: BONE EROSIONS. PA Foot.</bold> Observe the marginal erosion, demonstrating a classic overhanging margin sign (<italic>arrow</bold>), periarticular erosion (<italic>arrowhead</bold>), and intraosseous erosion (<italic>crossed arrow</bold>).
Figure 10-210 <bold>GOUT: BONE EROSIONS. PA Foot.</bold> Observe the marginal erosion, demonstrating a classic overhanging mar...