Abstract
Gout is a disorder of purine metabolism, affecting men 40–50 years of age resulting in recurrent bouts of arthritis and subcutaneous tophi in patients with long standing disease. We report a case of a 45-year-old male with symmetric, deforming polyarticular arthritis, affecting all the joints of hands, wrists and feet with diffuse subcutaneous nodules over his body. The radiographic findings of the patient were atypical. Following clinical evaluation and additional investigations, the patient received a diagnosis of chronic tophaceous gouty arthritis mimicking rheumatoid arthritis.
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