Gout in the 1st toe joint is commonly referred to as?

• A. Podagra
• B. Tophi
• C. Nephrolithiasis
• D. Synovitis

Answer: (A)

Podagra is the term for an acute gout attack at the first metatarsophalangeal joint, the big toe. This specific localization is the classic presentation of gout, especially in its early stages, partly because the peripheral joints in the toes are more prone to urate crystal precipitation in cooler temperatures. The word podagra comes from roots meaning “foot” and “pain,” highlighting the primary site. Other terms describe related but different aspects: tophi are urate crystal deposits that appear later in soft tissues, nephrolithiasis refers to uric acid kidney stones, and synovitis is a general inflammation of the joint lining that can occur in various arthritides. Therefore, the common name for gout in the big toe is podagra.