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Dual-Energy Computed Tomography (DECT) Resolves the Diagnostic Dilemma in an Atypically Presenting Case of Gout.

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العنوان: Dual-Energy Computed Tomography (DECT) Resolves the Diagnostic Dilemma in an Atypically Presenting Case of Gout.
المؤلفون: Sanghavi N; Internal Medicine, Westchester Medical Center, Valhalla, USA., Korem S; Rheumatology, Westchester Medical Center, Valhalla, USA., Dey S; Internal Medicine, Westchester Medical Center, Valhalla, USA., Wasserman A; Rheumatology, Westchester Medical Center, Valhalla, USA., Ash J; Rheumatology, Westchester Medical Center, Valhalla, USA.
المصدر: Cureus [Cureus] 2023 Apr 28; Vol. 15 (4), pp. e38247. Date of Electronic Publication: 2023 Apr 28 (Print Publication: 2023).
نوع المنشور: Case Reports
اللغة: English
بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Palo Alto, CA : Cureus, Inc.
مستخلص: Gout is a common inflammatory arthropathy that presents as acute monoarthritis, most commonly of the first metatarsophalangeal (MTP) joint. Chronic polyarticular involvement may lead to confusion with other inflammatory arthropathies, including rheumatoid arthritis (RA). A thorough history, physical examination, synovial fluid analysis, and imaging are keys to establishing a correct diagnosis. Although a synovial fluid analysis remains the gold standard, the affected joints may be difficult to access by arthrocentesis. In cases where a large monosodium urate (MSU) crystal deposition is in the soft tissues - the ligaments, bursae, and tendons, it becomes a clinical impossibility. In such cases, dual-energy computed tomography (DECT) can assist in differentiating gout from other inflammatory arthropathies, including RA. Additionally, DECT can perform quantitative analysis of tophaceous deposits and, therefore, assess response to treatment.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2023, Sanghavi et al.)
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فهرسة مساهمة: Keywords: dect providing high quality images; gout flare; gouty tophi; monosodium urate deposition; rheumatoid arthritis flare
تواريخ الأحداث: Date Created: 20230530 Latest Revision: 20230531
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC10225115
DOI: 10.7759/cureus.38247
PMID: 37252479
قاعدة البيانات: MEDLINE
الوصف
تدمد:2168-8184
DOI:10.7759/cureus.38247