Gout in 1st Metatarsophalangeal Joint

Podagra, or acute pain in the 1st metatarsophalangeal joint accompanied by redness, tenderness, and swelling (as seen in this image), is a common manifestation of acute gout.

By permission of the publisher. From Myers S: Atlas of Rheumatology. Edited by G Hunder. Philadelphia, Current Medicine, 2005. Available at www.images.md.