My brother may be following in my gouty footsteps. I am attempting to help him diagnose his condition and chart a plan of action, using all the good information here. Yes, we are testing his UA.
He has a small lump on his foot that gets the flares. He claims to have had it x-rayed in the past, and diagnosed as a bone spur. I find this suspicious. Have any of you ever run into a misdiagnosis of tophi as a bone spur? Further, do you think it possible to mistake it even under an x-ray?
It’s a tough call from the OUTSIDE, but an X-ray clearly shows a bone spur in sharp contrast, like other bones and a tophus as “fuzziness.”
Location plays a part as well, for example a lump sticking out the back of a heel is usually a spur. A non-pointy lump at the bunion joint is usually a tophus. A POINTY lump is usually a BUNION.
Fingers are especially tough becasue tophi and the nodes of osteoarthrits look pretty similar.
X-rays are misread every day and I’m sure some hands were even misdiagnosed as FEET.
And history can help. For example, If you’ve had 3 gout attacks and you see a new lump, odds are VERY good it’s gout.
Disclaimer: The purpose of Gout-Pal.com is to explain the history, evolution, and intentions of Keith Taylor's GoutPal Services. So it is a personal view that will incidentally include health issues. But this is definitely NOT a substitute for professional health advice.
Information on this website is provided by a fellow gout sufferer (Keith Taylor) with a love of accurate data. But no professional medical qualifications. So you must seek advice from a qualified doctor about gout and any other health matters.