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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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