Imaging methods in monitoring gout – a pictorial essay

Maria Korzeń; Anna Nowakowska-Płaza; Marek Leszkiewicz; Iwona Sudoł-Szopińska

doi:10.15557/jou.2024.0022

Imaging methods in monitoring gout – a pictorial essay

Journal of Ultrasonography

Volume 24 (2024): Issue 97 (June 2024)

By: Maria Korzeń , Anna Nowakowska-Płaza , Marek Leszkiewicz and Iwona Sudoł-Szopińska

Open Access

|Nov 2024

Abstract

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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Articles in this issue

DOI: https://doi.org/10.15557/jou.2024.0022 | Journal eISSN: 2451-070X | Journal ISSN: 2084-8404

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Language: English

Page range: 1 - 6

Submitted on: Oct 1, 2023

Accepted on: Apr 11, 2024

Published on: Nov 8, 2024

Published by: MEDICAL COMMUNICATIONS Sp. z o.o.

In partnership with: Paradigm Publishing Services

Publication frequency: 4 issues per year

Keywords:

DECT,

ultrasound,

gout,

dual-energy computed tomography

Related subjects:

Medicine,

Basic medical science,

Basic medical science, other

© 2024 Maria Korzeń, Anna Nowakowska-Płaza, Marek Leszkiewicz, Iwona Sudoł-Szopińska, published by MEDICAL COMMUNICATIONS Sp. z o.o.
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Volume 24 (2024): Issue 97 (June 2024)