What is the most likely diagnosis?
- 70 year-old male with pain and swelling
Frontal and lateral radiographs of right hand
- Pott's Puffy Tumor
- Metastatic Bone Disease
- Osteomyelitis
- Gout
- Osteoarthritis
Additional Images - Close-up view
Additional Images
Close-up of lateral view of hand
Answer:
.
4. Gout
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Gout
General Considerations
- Deposition of sodium urate monohydrate crystals in synovial membranes, articular cartilage, ligaments, bursae leading to destruction of cartilage
- Age of onset is usually greater than 40 years; males much more often than females
- Radiologic features usually not seen until 6-12 years after initial attack
- Radiologic features present in 50% of affected patients
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