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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Two Circular Holes In Bottom Of Toe, With Pus Discharge And Swelling. Is It Gout?

I have a pt with a single toe that is swollen and hard to the touch. There are two circular holes on the bottom of the toe and when the toe is squeeze there is a white toothpaste consistancy discharge that comes out. There is no odor. His pcp says that it is just gout . I am concerned for this pt, and the toe is only getting worse.
Wed, 7 Aug 2013
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General & Family Physician 's  Response
Hi,
From history it seems that he might have Osteomyelitis of toe.
Go for x-ray toe and find out the reason.
After diagnosis line of treatment can be decided.
Rule out diabetic foot as well.
Ok and take care.
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Two Circular Holes In Bottom Of Toe, With Pus Discharge And Swelling. Is It Gout?

Hi, From history it seems that he might have Osteomyelitis of toe. Go for x-ray toe and find out the reason. After diagnosis line of treatment can be decided. Rule out diabetic foot as well. Ok and take care.