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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Language: | English |
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2024-11-01
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Series: | Journal of Ultrasonography |
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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. |
format | Article |
id | doaj-art-9fb32e9ddf124e5ca2cb7f13c2e04766 |
institution | Kabale University |
issn | 2451-070X |
language | English |
publishDate | 2024-11-01 |
publisher | Sciendo |
record_format | Article |
series | Journal of Ultrasonography |
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 |
work_keys_str_mv | AT korzenmaria imagingmethodsinmonitoringgoutapictorialessay AT nowakowskapłazaanna imagingmethodsinmonitoringgoutapictorialessay AT leszkiewiczmarek imagingmethodsinmonitoringgoutapictorialessay AT sudołszopinskaiwona imagingmethodsinmonitoringgoutapictorialessay |