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Well, I already said I couldn't figure out how to contact him through the GoutPal system of pointers. Does that count as sufficiently negative?
By the way, I have a whole sequence of photos of the development of my tophus over 5 days. I've never seen anything like it posted anywhere, so maybe Keith Taylor, the webmaster of GoutPal, would like to look at it. However, I have been unable to figure out how to actually contact him, as all leads seem to go in circles, never actually showing an email address or (as far as I can recognize) a message system. Anybody who knows how is welcome to forward this message to him.
zip2play,
Your consideration, “Is it arthritis or is it a gout tophus?”, confuses me: I thought gout was considered a form of arthritis. So, if it was arthritis but NOT a gout tophus, what else would that white lump/stuff be?
I have had occasional attacks of gout over the last 10 years, and have just now been prescribed allopurinol. But I have never before had my toe “wrapped” in white like that.
Also, what is odd is that there is a long-standing lump on that knuckle, that appears to be a tophus: white shows through when you apply a little pressure. But there is no damage to the bones, as confirmed by X-rays: the lump deflects the toe but not by intruding into it. Two doctors separately remarked on that.
