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General Medicine General 9b7a0c7b

A 53-year-old man has a slowly enlarging "bump" over the olecranon process of his elbow. The mass is excised and on section has a chalky white consistency. Microscopically, the mass is composed of elongated, needle-shaped crystals that under polarized light are negatively birefringent. Surrounding the crystals is a granulomatous inflammatory infiltrate. True statements concerning his condition include all of the following, except?

A
Most patients with hyperuricemia will develop it
B
The first metatarsal-phalangeal joint is usually involved
C
The crystals can also be seen in synol fluid
D
This lesion can erode bone and cailage

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