Search tips
Search criteria 


Logo of jrsocmedLink to Publisher's site
J R Soc Med. 1995 December; 88(12): 713p–715p.
PMCID: PMC1295425

Development of a 'Charcot-like joint' in tophaceous gout.


We report an unusually severe case of ulcerating tophaceous gout in which inflammation due to gout, infection and excessive alcohol intake resulted in complete destruction of an ankle joint.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (905K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Images in this article

Click on the image to see a larger version.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Bruckner FE, Howell A. Neuropathic joints. Semin Arthritis Rheum. 1972 Summer;2(1):47–49. [PubMed]
  • Bennett RM, Mall JC, McCarty DJ. Pseudogout in acute neuropathic arthropathy. A clue to pathogenesis? Ann Rheum Dis. 1974 Nov;33(6):563–567. [PMC free article] [PubMed]
  • Dieppe P, Watt I. Crystal deposition in osteoarthritis: an opportunistic event? Clin Rheum Dis. 1985 Aug;11(2):367–392. [PubMed]
  • Jacobelli S, McCarty DJ, Silcox DC, Mall JC. Calcium pyrophosphate dihydrate crystal deposition in neuropathic joints. Four cases of polyarticular involvement. Ann Intern Med. 1973 Sep;79(3):340–347. [PubMed]
  • McCarty DJ. Calcium pyrophosphate dihydrate crystal deposition disease--1975. Arthritis Rheum. 1976 May-Jun;19 (Suppl 3):275–285. [PubMed]
  • Seabold JE, Flickinger FW, Kao SC, Gleason TJ, Kahn D, Nepola JV, Marsh JL. Indium-111-leukocyte/technetium-99m-MDP bone and magnetic resonance imaging: difficulty of diagnosing osteomyelitis in patients with neuropathic osteoarthropathy. J Nucl Med. 1990 May;31(5):549–556. [PubMed]
  • Thornhill HL, Richter RW, Shelton ML, Johnson CA. Neuropathic arthropathy (Charcot forefeet) in alcoholics. Orthop Clin North Am. 1973 Jan;4(1):7–20. [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press