Patient foot with gout (IMAGE) University of California - San Diego Caption A radiograph of the patient’s foot revealed punched-out joint erosions in the big toe, features characteristic of tophaceous, erosive gout. Credit UC San Diego Health Sciences Usage Restrictions Use photo credit License Original content Disclaimer: AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert system.