Gout, with a section on ocular disease in the gouty

by Llewellyn J. Llewellyn

Chronic Monarticular Gout

Occasionally gout in its recurrences clings obstinately to the great toe and tarsal joints. But since the advent of radiography there should be little or no difficulty in differentiating a chronic gouty arthritis of the great toe from the only other arthritic lesion with which it is likely at this stage to be confounded, viz., osteoarthritis. But at the same time we would refer the reader back to the chapter dealing with the differential diagnosis of the localised variety of acute gout, as therein we dealt fully with other possible sources of fallacy, i.e., static deformities, etc. We shall therefore now proceed to discuss those exceptional cases in which chronic gout is located not in one of the small, but in one of the larger, articulations.