What is In gout tophi are not seen in? and explain in detail?
Muscles REF: Apley 8th edition page 77 Tophi are nodular deposition of crystals of mono sodium urate which get deposited in connective tissues like: Aicular cailage Tendon Synovium Aicular ends of bone Periaicular tissue Pinna Cailage Ligaments Kidney Subcutaneous tissue On X-ray: Tophi appears as punched out cysts with over hanging bony edges or G sign or mael's sign. Metatarsophalangeal joint is the most common and earliest joint affected by gout