A 65 year old woman with a history of chronic hypertension,…
A 65 year old woman with a history of chronic hypertension, diabetes mellitus, and degenerative joint disease presents with acute onset of severe pain of the metatarsophalangeal (MTP) joint and swelling of the left first toe. Physical examination show exquisite tenderness of the joint, with swelling, warmth and erythema. What is the most likely diagnosis?
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