Gout

  • Disorder of Purine metabolism with deposition of Sodium monourate crystals causing inflammatory reaction in cartilage synovium and periarticular tissue.
  • Normal bone density with bone erosions.
  • Marginal, peri-articular and intraosseous erosions (overhanging margin sign).
  • 1st MTP joint most commonly involved.
  • Spine & SI joints infrequent involvement.
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