Gout

A 49-year-old man presented for evaluation of a 10-year history of progressive pain in his joints. The joint pain is localized predominantly in his hands and feet.

Theodore R. Fields, MD, presents the case of a 67‑year‑old man who may soon need dialysis and who presents for follow-up of his gout and kidney disease. Can you select the best next step in the management...

Other frequently involved joints include ankles, knees, wrists, elbows, and joints of the feet and hands.

A 70-year-old man sought medical attention for a white lesion with surrounding erythema on the thumb of his right hand.