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High-resolution ultrasound of the ankles in Lofgren syndrome: attention to detail may be the key to diagnosis Cover

High-resolution ultrasound of the ankles in Lofgren syndrome: attention to detail may be the key to diagnosis

Journal of Ultrasonography
Volume 20 (2020): Issue 82 (January 2020)
By: Eleni E. Drakonaki,  Emmanouil K. Symvoulakis and  John Gliatis  
Open Access
|Sep 2020

Figures & Tables

Fig. 1.

Clinical photograph at presentation showing soft tissue edema of the left ankle and foot
Clinical photograph at presentation showing soft tissue edema of the left ankle and foot

Fig. 2.

Axial ultrasound image of the flexor tendons at the level of the left medial malleolus (MM), showing hypoechoic fluid around the tibialis posterior tendon (TP) and the flexor digitorum longus (FDL) tendon, in keeping with tenosynovitis. There are also extensive subcutaneous small fluid collections consistent with subcutaneous edema/cellulitis
Axial ultrasound image of the flexor tendons at the level of the left medial malleolus (MM), showing hypoechoic fluid around the tibialis posterior tendon (TP) and the flexor digitorum longus (FDL) tendon, in keeping with tenosynovitis. There are also extensive subcutaneous small fluid collections consistent with subcutaneous edema/cellulitis

Fig. 3.

Longitudinal ultrasound image with color Doppler of the tibialis posterior tendon (T) at the level of the left medial malleolus (MM). There is effusion (asterisk) in the tendon sheath, consistent with tenosynovitis. There are also subcutaneous small fluid collections (arrow), in keeping with fat cellulitis, and increased vascularity of the subcutaneous fat consistent with acute inflammation
Longitudinal ultrasound image with color Doppler of the tibialis posterior tendon (T) at the level of the left medial malleolus (MM). There is effusion (asterisk) in the tendon sheath, consistent with tenosynovitis. There are also subcutaneous small fluid collections (arrow), in keeping with fat cellulitis, and increased vascularity of the subcutaneous fat consistent with acute inflammation

Fig. 4.

A. Longitudinal ultrasound image of the anterior recess of the left tibiotalar joint and B. the metatarsophalangeal joint showing that there is no significant effusion or synovitis. Ti – Tibia, Ta – Talus, M – metatarsal bone, P – phalangeal bone
A. Longitudinal ultrasound image of the anterior recess of the left tibiotalar joint and B. the metatarsophalangeal joint showing that there is no significant effusion or synovitis. Ti – Tibia, Ta – Talus, M – metatarsal bone, P – phalangeal bone

Fig. 5.

Posteroanterior chest X-ray showing bilateral lobular hilum enlargement, suggesting hilar lymphadenopathy
Posteroanterior chest X-ray showing bilateral lobular hilum enlargement, suggesting hilar lymphadenopathy

Fig. 6.

Axial CT images of the chest in lung ( A ) and mediastinal ( B ) windows, showing the presence of enlarged paratracheal and mediastinal nodes (asterisks) and parenchymal nodules with perilymphatic distribution (arrows)
Axial CT images of the chest in lung ( A ) and mediastinal ( B ) windows, showing the presence of enlarged paratracheal and mediastinal nodes (asterisks) and parenchymal nodules with perilymphatic distribution (arrows)
DOI: https://doi.org/10.15557/jou.2020.0035 | Journal eISSN: 2451-070X | Journal ISSN: 2084-8404
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Language: English
Page range: 210 - 213
Submitted on: Mar 25, 2020
Accepted on: Jun 3, 2020
Published on: Sep 28, 2020
Published by: MEDICAL COMMUNICATIONS Sp. z o.o.
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
ankle tenosynovitis,
edema,
arthritis,
Lofgren syndrome,
acute sarcoidosis
Related subjects:
Medicine,
Basic medical science,
Basic medical science, other

© 2020 Eleni E. Drakonaki, Emmanouil K. Symvoulakis, John Gliatis, published by MEDICAL COMMUNICATIONS Sp. z o.o.
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

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