Illness, dehydration, and excess alcohol intake can trigger gout. Gout tends to affect just one joint in its early stage. The MTP joint is the first affected in roughly 50-75% of people.

During an acute attack of gout, inflammatory mediators are released and vascular adhesion and chemotaxis of leukocytes to the inflamed joint is enhanced. 7 However, for this to have an impact on ...

Examination showed tenderness to palpation and limited range of motion of the first metatarsophalangeal (MP) joint, and radiographs showed stage 4 OCD of the first metatarsal head with a detached ...