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Gout is usually present with recurrent attacks of acute inflammatory arthritis (red, tender, hot, swollen joint). It is caused by elevated levels of uric acid in the blood that crystallizes and deposits in joints, tendons, and surrounding tissues. Gout affects 1% of individuals in Western populations at some point in their lives. [8]
Patients present with an acute onset of swelling, pain, erythema, prominent tenderness, warmness and limited range of motion in both ankles. [1] [2] Lower legs and heels may also be involved, however the distal parts of feet and toes are usually spared. Patients may also experience high-graded fever, pitting edema and hypotension.
Synovitis causes joint tenderness or pain, swelling and hard lumps, called nodules. When associated with rheumatoid arthritis, swelling is a better indicator than tenderness. The joints in your hands and fingers feel painful when pressed and when moving or gripping anything.
Retrocalcaneal bursitis is an inflammation of the bursa located between the calcaneus and the anterior surface of the Achilles tendon. [1] It commonly occurs in association with rheumatoid arthritis, spondyloarthropathies, gout, and trauma.
Middle age is the most common age of affection, females are more affected than males, and the occurrence is often bilateral. A clinical feature of this condition is pain in the back of the heel, which is more after rest. Clinical evaluation and lateral radiographs of the ankle are mostly enough to make a diagnosis of Haglund's syndrome. [2]
Olecranon bursitis is a condition characterized by swelling, redness, and pain at the tip of the elbow. [ 1 ] [ 2 ] If the underlying cause is due to an infection , fever may be present. [ 2 ] The condition is relatively common and is one of the most frequent types of bursitis .
Chondrocalcinosis may be accompanied by joint pain, joint swelling, and decreased range of motion. [9] Chondrocalcinosis sites. Chondrocalcinosis affects common areas such as the knee, wrist, hand, and pelvis. [10] Chondrocalcinosis can also be visualized affecting the spine.
The same 45-year-old man with diabetes mellitus presented with a diffusely swollen, warm and non-tender left foot due to Charcot arthropathy. There are no changes to the skin itself. The clinical presentation varies depending on the stage of the disease from mild swelling to severe swelling and moderate deformity.