Gout at the Rib Joints

Title: Tophaceous gout of the first costochondral junction in a heart transplant patient
Chang PC, et al.
Publication: Skeletal Radiol. 2005 Jul 8

The author reported a case of 49-year old man with a 10 year history of gout. He came in with a painful left first rib. A biopsy guided by use of CT-scan (computed tomography scan) revealed an immunological reaction to foreign materials called foreign body giant cell reaction as well as crystal depositions or tophi consistent with gout.

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