Gout arthritis is an inflammatory arthritis caused by hyperuricemia from various etiologies. It is typically a polyarticular arthritis with the most common joint involved being the first metatarsophalangeal joint. We present a case of gout of the knee with characteristic magnetic resonance imaging findings and rare involvement of the patella. Radiographic findings of gout are diagnostic; however, they manifest many years after the onset of the disease process. Control of symptoms and progression of the disease is possible with correct treatment made possible by early diagnosis.
The three major forms of cutaneous lupus erythematosus (LE) are chronic (discoid), subacute, and acute (found in systemic LE). Neonatal LE has recently been recognized as a separate disease with unique therapeutic problems. Subsets of DLE, such as rosaceous DLE, LE panniculitis, verrucous DLE, and chilblain LE, have still different characteristics and prognoses. This diversity of presentation creates a wide spectrum of cutaneous disease, which may be seen by a practitioner of any medical specialty. The physician must recognize cutaneous LE in its many forms to properly diagnose, treat, and advise the patient, because for many LE patients, skin problems are the only manifestation of their disease.
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