Chronic Tophaceous Gout

chronic tophaceous gout sagittal CT

This patient has severe tophaceous gout involving the ankle and subtalar joints and many of the small joints of the foot. The CT demonstrates numerous hyperdense intra-articular and periarticular masses consistent with tophi, with erosions and destruction of some of the joints. For further information on gout, see previous case of gout in the hand.

Credit: Dr Donna D'Souza