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?
Most patients with hyperuricemia will develop it
The first metatarsal-phalangeal joint is usually involved
The crystals can also be seen in synol fluid
This lesion can erode bone and cailage
Most patients with an increased serum uric acid do not have a gouty ahritis, though some do. Gouty tophi can develop in gout.