secondary gout

Secondary

gout in primary myelofibrosis. Posteroanterior view of right hand demonstrates pathognomonic changes of gout with focal thenar swelling, first metacarpal base and trapezium juxta-articular erosions, and overhanging edges. There is a background of diffuse osteopenia.

Secondary

gout in primary myelofibrosis. Oblique view of right hand demonstrates pathognomonic changes of gout with focal thenar swelling, first metacarpal base and trapezium juxta-articular erosions, and overhanging edges. There is a background of diffuse osteopenia.

Secondary

gout in primary myelofibrosis. Juxta-articular erosions are present of the first carpometacarpal and triscaphe joints. Largest erosion at the base of the thumb metacarpal displays characteristic "overhanging edge" appearance.