A person presented with swelling of the right 3rd toe. X ray shows deposition of multiple crystals. A defect in which of the following pathway caused the problem.
The probable diagnosis is gout . Gout is the most common inflammatory ahritis in men and in older women. It is caused by deposition of monosodium urate monohydrate crystals in and around synol joints due to abnormal purine metabolism . Ref Davidsons 23e p1013
Purine salvage pathway
Uric acid pathway
Urea cycle
CORI cycle
Miscellaneous