U.C.L.A. Rheumatology Pathophysiology of Disease Course Lecture, Second Year Medical School 2005
 
 
 
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Gouty Arthritis Described    Page 40
 
 
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The clinical picture of gouty arthritis is described.
Animation: Gouty Arthritis Described : The clinical picture of gouty arthritis is described.
Animation: Gouty Arthritis Described : The clinical picture of gouty arthritis is described.
Animation: Gouty Arthritis Described : The clinical picture of gouty arthritis is described.
 
       
Slide 1: "A photo of a Hand with Tophaceous Gout is Shown: note the off-yellow Color of the Deposit, which is Characteristic " 360 x 240 pixels 25kb photo CAC Slide 2: "A photo of a Toe Topheous is shown, again Demonstrating the Distinctive off-yellow Deposits " 360 x 240 pixels 18kb photo CAC Slide 3: "A photo of the volar surface of a Hand demonstrating severe Tophaceous Gout in a Non-compliant Alcoholic " 360 x 240 pixels 22kb photo CAC
Click Picture or here for larger slides (720 x 480 ) 63kb Click Picture or here for larger slides (720 x 480 ) 73kb Click Picture or here for larger slides (800 x 500 ) 66kb
        This picture shows a hand with a disorder that we haven't seen yet. This disease is not uncommon and it will be encountered in a primary care clinic, but it is often much more subtle than this and it is therefore overlooked. This patient's toe is shown. The pattern of arthritis is quite different from what we've seen. In fact, this lesion appears to be a deposit outside of the joint. Note the off-yellow color of the material in the lesion which is very characteristic. This finger is from a different patient. The deposit is more extensive. This is tophaceous gout and these are tophi. Another topheous is shown.
        In this gentleman, nearly his entire foot was comprised of a giant tophous. His hands are shown. He had been misdiagnosed as having rheumatoid arthritis for 15 years.
 
     
 
Slide 4: "A photo of a Knee Tophous" 360 x 240 pixels 17kb photo CAC Slide 5: "A photo of Tophaceous Gout of the Foot. " 360 x 240 pixels 89kb photo CAC
Slide 6: "A photo of Tophaceous Gout of the Hands in the same Patient as Slide 5. He had been diagnosed as having Rheumatoid Arthritis for 15 years. " 360 x 240 pixels 16kb photo CAC
Click Picture or here for larger slides (800 x 500 ) 53kb Click Picture or here for larger slides (800 x 600 ) 89kb Click Picture or here for larger slides (800 x 600 ) 93kb
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