Painless nodules over joints with ulceration
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A 30-year-old male presented with swellings over left elbow, left ankle, base of the first meta-tarso-phalangeal joint of both feet (figures 1–3). He had ulcers over swelling of right meta-tarso-phalangeal joint and dorsum of same foot since 3 months. He also had polyuria and low-grade fever since 6 months. There was a chalky white discharge from the ulcers, which on examination under polarised microscope showed large number of needle shaped crystals with negative …