1. The Challenges of Approaching and Managing Gout
Theodore R. Fields, MD 
Rheumatic Disease Clinics 
Volume 45, Issue 1, Pages (February 2019)
DOI: /j.rdc
Copyright © 2018 The Author(s) Terms and Conditions

2. Fig. 1
Microscopic demonstration of tophaceous material. (A) Image of patient’s thumb interphalangeal joint with whitish material with surrounding erythema, with no history of gout. (B) Image of polarizing microscopic view of material from surface of thumb interphalangeal joint showing negatively birefringent monosodium urate crystals diagnostic of gout.
Rheumatic Disease Clinics  , DOI: ( /j.rdc )
Copyright © 2018 The Author(s) Terms and Conditions

3. Fig. 2
Classic tophi. This patient has classic appearance of tophi, including irregular shape, whitish material seen under the skin of the distal second toe, and first toe shows overlying increased vascularity.
Rheumatic Disease Clinics  , DOI: ( /j.rdc )
Copyright © 2018 The Author(s) Terms and Conditions