case_images: PMC4742039_01
case_images: Large tophi over bilateral hands
case_images: PAMJ-22-132-g001.jpg
case_images: PMC4742039_01_PAMJ-22-132-g001.jpg
case_images: F0001
case_images: Physical examination revealed that there were multiple large firm tophi over bilateral hands, feet, elbows, and knees (Figure 1, Figure 2, Figure 3).
case_images: Large tophi over bilateral feet
case_images: PAMJ-22-132-g002.jpg
case_images: PMC4742039_01_PAMJ-22-132-g002.jpg
case_images: F0002
case_images: Physical examination revealed that there were multiple large firm tophi over bilateral hands, feet, elbows, and knees (Figure 1, Figure 2, Figure 3).
case_images: Large tophus of the elbow
case_images: PAMJ-22-132-g003.jpg
case_images: PMC4742039_01_PAMJ-22-132-g003.jpg
case_images: F0003
case_images: Physical examination revealed that there were multiple large firm tophi over bilateral hands, feet, elbows, and knees (Figure 1, Figure 2, Figure 3).
case_images: Radiography of both hands showing soft-tissue swelling and periarticular erosions in metacarpophalangeal and interphalangeal joints
case_images: PAMJ-22-132-g004.jpg
case_images: PMC4742039_01_PAMJ-22-132-g004.jpg
case_images: F0004
case_images: Radiological examination of both hands showed soft-tissue swelling and periarticular erosions in interphalangeal joints (Figure 4).
case_images: Radiography of the foot showing soft tissue swelling and destruction of the right first metatarsophalangeal joint
case_images: PAMJ-22-132-g005.jpg
case_images: PMC4742039_01_PAMJ-22-132-g005.jpg
case_images: F0005
case_images: Radiological examination of the feet showed soft tissue swelling and total destruction of the first right metatarsophalangeal joint (Figure 5).