Exam questionKROK 2Medicine ยท 2021
A 62-year-old man complains of a moderate pain in his left foot in the area of his metatarsophalangeal joint. The pain intensifies on movement. The disease onset was 12 years ago, when he first had an (acute pain attack). Two years ago, a yellow white nodule appeared under the skin that covers the joint. Examination shows that the joint is deformed and cyanotic. X-ray of the affected joint shows narrowing of the joint space and well-defined bone tissue defects in the epiphysis (punched out erosions). What is the most likely diagnosis in this case?
Answer options
- Osteoarthritis
- Gouty arthritis
- Rheumatoid
- Reiter's syndrome
- Reactive arthritis
Correct answer
Gouty arthritis
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