| Eric A. Brandser, M.D.
Peer Review Status: Internally Peer Reviewed
Dorsoplantar views of both feet show an asymmetric arthritis
involving the great toes predominantly as well as other joints.
This arthritis is characterized by well marginated erosions,
a large area of soft tissue swelling related to tophus, with
relative preservation of the joint space given the amount
of periarticular erosion present. The findings are typical
of gout, which spares the joint space itself until late in
the disease. The erosions with their overhanging edges have
been called "Mickey Mouse ears" or "cookie
cutter" type erosions.
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