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Isolated Gouty Tophus of a Tibial Sesamoid of the Foot

Harvey Lemont Director, Laboratory of Podiatric Pathology, Chairman, Department of Medicine, Temple University School of Podiatric Medicine, Eighth at Race St, Philadelphia, PA 19107.

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Marc Sabo Submitted during second-year surgical residency, Frankford Hospital, Philadelphia, PA.

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A case of tophaceous gout involving a foot sesamoid is described in a middle-aged man with a history of chronic gout. Microscopic findings consisting of tophaceous foci located beneath an intact hyaline articulating surface are correlated with associated radiographs. (J Am Podiatr Med Assoc 91(7): 379-380, 2001)