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Erosions. Malalignment.
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Around the erosion there is a swelling “ Rounded soft tissue enlargement” TOPHUS
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The earliest change is soft tissue swelling. At a later stage, erosions occur that, unlike rheumatoid arthritis. These erosions have a well-defined, often sclerotic, edge and frequently have overhanging edges
Gout characteristically involves the metatarsophalangeal joint of the big toe.
Erosion: there is a typical well-defined erosion with an overhanging