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Dactylitis in gout
  1. R Andracco1,
  2. G Zampogna1,
  3. M Parodi1,
  4. F Paparo2,
  5. M A Cimmino1
  1. 1
    Clinica Reumatologica, Dipartimento di Medicina Interna, Università di Genova, Italy
  2. 2
    Sezione di Diagnostica per Immagini, Dipartimento di Medicina Interna, Università di Genova, Italy
  1. Correspondence to Professor M A Cimmino, Clinica Reumatologica, Dipartimento di Medicina Interna, Università di Genova, Viale Benedetto XV, 6, 16132 Genova, Italy; cimmino{at}unige.it

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The clinical spectrum of gout is changing. More frequently than before it is polyarticular, involves the hand, affects a wide range of ages and occurs in women.1 2 As a result, it is necessary to recognise its uncommon clinical features.

Dactylitis—inflammation of a finger or toe3—is typical but not peculiar to seronegative spondyloarthritides. It presents as a diffuse swelling due mainly to flexor tenosynovitis, but possibly also to soft tissue oedema and synovitis.4 Dactylitis has also been observed in infections, sarcoidosis, sickle cell disease and gout as a result of different pathological processes.3 In the only report on gout-associated dactylitis, it was seen in 4/80 patients (5%).5

Dactylitis was investigated in 73 consecutive patients with gout diagnosed according …

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