Today, a man aged 52 was admitted to our hospital. He had been to several hospitals before. We suspected that his sufferings were due to acute gout. In his history he had been tested only once with an elevated count for uric acid. The aspiration from the MCP 5 joint of the right hand looked like white toothpaste.
X-ray of the left great toe shows bone erosion suggestive of gout
Before microscopy – the toothpaste like substance
Polarized light microscopy showing uric acid crystals, which are spike rod shaped and are “negatively birefringent”
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