Acute Gouty Arthritis Classic inflammation resembling cellulitis of the first metatarsophalangeal (MTP) joint, referred to as podagra. The first MTP is the most common site of initial involvement. (Courtesy Dr. A. Fam)
Prominent scaly fixed erythema, flat or raised over malar eminences, tending to spare nasolabial folds (“butterfly rash”).
Sclerodactyly showing bilateral swelling, a shiny wax-like appearance, and tapering of the fingers. May also note digital ulcers, nailfold telangiectasia, and periarticular calcinosis. Flexion contractures present in advanced disease. (Courtesy Dr. A. Fam)
Note subluxation of digits at the metacarpophalangeal (MCP) joints and rheumatoid nodules at 2nd and 3rd MCPs. (Courtesy of Dr. D. Jerome)
Significant ulnar deviation of the digits, typical of rheumatoid arthritis.
