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עמוד בית
Wed, 19.06.24

IMAGING

IMAJ | volume 25

Journal 10, October 2023
pages: 716

Osteolysis in a Patient with Gout

1 Rheumatology Unit, Bnai Zion Medical Center, Haifa, Israel 2 Department of Pathology, Bnai Zion Medical Center, Haifa, Israel 3 Rappaport Faculty of Medicine, Technion–Israel Institute of Technology, Haifa, Israel

Summary

A 52-year-old man with a history of gout presented to the emergency department with painful purulent ulcers on the left index finger. Serum C-reactive protein was elevated to 112 mg/L. Hand radiographs [Figure 1A] demonstrated almost complete osteolysis of the two distal phalanges of the involved finger (asterisk), with multiple typical gouty erosions with sclerotic margins and overhanging edges in a marginal and juxta-articular distribution (white arrows), and soft tissue tophi (black arrows). Osteomyelitis of the index finger was suspected, and the finger was amputated.

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