This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Joint disorders, Subject name: Anatomy
Mael&;s sign is seen in which of the following condition 
Select and explain. 
A. Rheumatoid ahritis, B. Osteoahritis, C. Gouty ahritis, D. Oochronosis
C: Gouty ahritis
Answer: C: Gouty ahritis 
Explanation: Mael&;s sign is seen in long standing cases of gouty ahritis * First acute attack: soft tissue swelling * Chronic tophaceous gout: Mael&;s sign --punched-out cystic erosions with overhanging bony edges, associated with soft tissue calcified masses. Refer Fundamentals of ohopedics by Nikil Mohindra p 354