Chronic midfoot pain and swelling- a diagnostic dilemma?

Journal Title: Indian Journal of Orthopaedics Surgery - Year 2017, Vol 3, Issue 1

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.

Authors and Affiliations

Shuaib Ahmed, Prashant Acharya, Arjun Naik, Terence D’souza

Keywords

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  • EP ID EP293530
  • DOI 10.18231/2395-1362.2017.0022
  • Views 108
  • Downloads 0

How To Cite

Shuaib Ahmed, Prashant Acharya, Arjun Naik, Terence D’souza (2017). Chronic midfoot pain and swelling- a diagnostic dilemma?. Indian Journal of Orthopaedics Surgery, 3(1), 105-107. https://europub.co.uk/articles/-A-293530