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Inflammation & swelling of the 1st metatarsophalangeal (MTP) joint or great toe is the most common (classical) presentation of acute gout.
Management:
- treat as gout
- do not perform joint aspiration, because infection is uncommon in this location [3]
Related
gout
General
sign/symptom
References
- Mayo Internal Medicine Board Review, 1998-99, Prakash UBS (ed)
Lippincott-Raven, Philadelphia, 1998, pg 859
- UCSF Introduction to Clinical Imaging, Radiology
syllabus, 1993
- Medical Knowledge Self Assessment Program (MKSAP) 16
American College of Physicians, Philadelphia 2012