Hi,
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Have recently come across about three different cases of ulcers with small chalky white crystals present. Each patient has been referred for blood tests to check for gout.
One GP's response was that you cannot diagnose gout from the appearance of the foot, or from the presence of crystals, and hence refused to carry out a blood test.
Each case has not been particularly painful, but the recurrent crystals are preventing healing.
So, advice please on diagnosis, treatment and management.
Thanks in advance.
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