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Aspiration of the first metatarsophalangeal joint in asymptomatic hyperuticemic psoriasis was performed in order to see whether there are specific findings which could help to predict who is prone to develop gout and to find out whether a distinction can be established between psoriasis and gouty arthritis. Since crystals were not found, it seems that the aspiration of the first metatarsophalangeal joint is not likely to yield monosodium urate crystals and is not contribute to the differential diagnosis.
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