Imaging methods in monitoring gout – a pictorial essay

We present a pictorial essay based on the case of a 52-year-old man suffering from chronic gout, who was followed up for seven years. During this period of time, radiographs, ultrasonography, and dualenergy computed tomography were performed several times, revealing severe progression of gout. This...

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Main Authors: Korzeń Maria, Nowakowska-Płaza Anna, Leszkiewicz Marek, Sudoł-Szopińska Iwona
Format: Article
Language:English
Published: Sciendo 2024-11-01
Series:Journal of Ultrasonography
Subjects:
Online Access:https://doi.org/10.15557/jou.2024.0022
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author Korzeń Maria
Nowakowska-Płaza Anna
Leszkiewicz Marek
Sudoł-Szopińska Iwona
author_facet Korzeń Maria
Nowakowska-Płaza Anna
Leszkiewicz Marek
Sudoł-Szopińska Iwona
author_sort Korzeń Maria
collection DOAJ
description We present a pictorial essay based on the case of a 52-year-old man suffering from chronic gout, who was followed up for seven years. During this period of time, radiographs, ultrasonography, and dualenergy computed tomography were performed several times, revealing severe progression of gout. This was most likely due to the lack of patient compliance. Inflammatory and destructive lesions were observed in the wrists, in the metacarpophalangeal and proximal interphalangeal joints. Ultrasonography showed tenosynovitis, synovitis with small calcifications in the synovial membrane. Radiographs obtained in later stages showed tophi and bone erosions. Dual-energy computed tomography showed deposits of monosodium urate crystals in different locations, which increased in volume over time. This modality can be used to confirm a clinical diagnosis of gout, especially in early stages of the disease, and to follow up the treatment.
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spelling doaj-art-9fb32e9ddf124e5ca2cb7f13c2e047662025-01-07T07:56:28ZengSciendoJournal of Ultrasonography2451-070X2024-11-0124971610.15557/jou.2024.0022Imaging methods in monitoring gout – a pictorial essayKorzeń Maria0Nowakowska-Płaza Anna1Leszkiewicz Marek2Sudoł-Szopińska Iwona3Department of Radiology, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, PolandDepartment of Rheumatology, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, PolandDepartment of Radiology, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, PolandDepartment of Radiology, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, PolandWe present a pictorial essay based on the case of a 52-year-old man suffering from chronic gout, who was followed up for seven years. During this period of time, radiographs, ultrasonography, and dualenergy computed tomography were performed several times, revealing severe progression of gout. This was most likely due to the lack of patient compliance. Inflammatory and destructive lesions were observed in the wrists, in the metacarpophalangeal and proximal interphalangeal joints. Ultrasonography showed tenosynovitis, synovitis with small calcifications in the synovial membrane. Radiographs obtained in later stages showed tophi and bone erosions. Dual-energy computed tomography showed deposits of monosodium urate crystals in different locations, which increased in volume over time. This modality can be used to confirm a clinical diagnosis of gout, especially in early stages of the disease, and to follow up the treatment.https://doi.org/10.15557/jou.2024.0022dectultrasoundgoutdual-energy computed tomography
spellingShingle Korzeń Maria
Nowakowska-Płaza Anna
Leszkiewicz Marek
Sudoł-Szopińska Iwona
Imaging methods in monitoring gout – a pictorial essay
Journal of Ultrasonography
dect
ultrasound
gout
dual-energy computed tomography
title Imaging methods in monitoring gout – a pictorial essay
title_full Imaging methods in monitoring gout – a pictorial essay
title_fullStr Imaging methods in monitoring gout – a pictorial essay
title_full_unstemmed Imaging methods in monitoring gout – a pictorial essay
title_short Imaging methods in monitoring gout – a pictorial essay
title_sort imaging methods in monitoring gout a pictorial essay
topic dect
ultrasound
gout
dual-energy computed tomography
url https://doi.org/10.15557/jou.2024.0022
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