Metastasis of pulmonary origin in a metatarsal head: differential diagnosis of an attack of gout. Literature review of bony metastases of hands and feet
Aellen, P.; Rivier, G.; Gerster, J.C.
Schweizerische Rundschau für Medizin Praxis 80(15): 387-390
1991
ISSN/ISBN: 1013-2058 PMID: 2031112 Document Number: 372646
The osseous metastasis in our patient's first toe has been the initial clinical manifestation of a pulmonary neoplasm and the clinical picture was that of a gout-attack or an other osteoarticular affection. As a rule, primary supradiaphragmatic neoplasia tend to metastasize to the hands whereas primary infradiaphragmatic neoplasia tends to metastasize to the feet. Our patient, who presented a pulmonary tumor with a metastasis in the right foot, did not fit into this schedule.