MCQ – 86390

Question

A 35-year-old man with obesity, metabolic syndrome, and renal failure presents with excruciating joint pain associated with localized hyperemia and warmth involving ankles, heels, and knees. Aspirate from the joint shows dense neutrophilic infiltrate and crystals are seen under polarised light are as shown below. What is the most likely diagnosis?

A.

Rheumatoid arthritis

B.

Septic arthritis

C.

Ankylosing spondylitis

D.

Gout 

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