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Chronic midfoot pain and swelling- a diagnostic dilemma?

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Case Report

Author Details : Shuaib Ahmed, Prashant Acharya, Arjun Naik, Terence D’souza

Volume : 3, Issue : 1, Year : 2017

Article Page : 108-110

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Abstract

Introduction: Chronic foot pain and swelling can pose difficulty in arriving at a diagnosis and appropriate treatment often resulting in inferior outcome.
Materials and methods: A 45 year patient with chronic foot pain was evaluated clinically and underwent blood investigations which showed elevated serum uric acid levels (9.1mg/dl). Ankle plain radiograph showed arthritic changes. All of these were pointing towards a differential diagnosis. Synovial biopsy report showed chronic gouty arthritis of foot.
Discussion: Chronic midfoot pain and swelling being a diagnostic dilemma must have a panel of differential diagnoses before arriving at a provisional diagnosis.
Conclusion: Having known the unusual presentations of gout a thorough evaluation of patient presenting with chronic midfoot pain and swelling should be done.

Keywords: Chronic, Foot, Pain, Swelling, Gout

 

How to cite : Ahmed S, Acharya P, Naik A, D’souza T, Chronic midfoot pain and swelling- a diagnostic dilemma?. Indian J Orthop Surg 2017;3(1):108-110

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