Magnetic resonance imaging of tophaceous goutin the hands and wrists
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Cited by (69)
Management of Gout in the Hand and Wrist
2023, Orthopedic Clinics of North AmericaDactylitis: A pictorial review of key symptoms
2020, Diagnostic and Interventional ImagingCitation Excerpt :Different pathogenic hypotheses have been raised regarding the occurrence of dactylitis: in patients with tophaceous (chronic) gout, crystal deposition around the tendons and phalanges could explain the occurrence of dactylitis. During acute arthritis, non-specific joint synovitis, synovial sheath effusion and soft tissue edema might be responsible for the onset of dactylitis [7,45]. Dactylitis has been suggested as an indicator of disease severity: patients with dactylitis present more tophi and involved joints, greater uric acid serum concentration and longer disease duration than patients with non-dactylitic gout [7,43].
Imaging of Gout
2018, GoutComputed Tomography and MR Imaging in Crystalline-Induced Arthropathies
2017, Radiologic Clinics of North AmericaCitation Excerpt :Tophi can reliably and reproducibly be detected on MR imaging33,34 and have variable signal characteristics, but they are typically low on T1-weighted and intermediate to high on T2-weighted sequences and show heterogeneous enhancement35 (Fig. 3). Besides nodular tophi, amorphous tophi have also been described using MR imaging.36 There are few data about the diagnostic performance of MR imaging for gout and MR imaging is not incorporated into recent American College of Rheumatology criteria,7 although its ability to visualize joint destruction and soft tissue inflammation has obvious potential to monitor disease progression.12
Imaging of gout: New tools and biomarkers?
2016, Best Practice and Research: Clinical RheumatologyCitation Excerpt :The authors concluded that the MR appearance of tophaceous gout is nonspecific but in atypical presentations, where tophus may be confounded with tumor or infection, it could help in determining the correct diagnosis. Another study by Popp et al. showed the utility of MRI in determining the extent of disease in tophaceous gout [26]. In this study, the authors compared the value of physical examination, conventional radiographs, and MRI in seven patients with tophaceous gout of the hands and wrists.
Imaging in Rheumatic Diseases
2016, Kelley and Firestein's Textbook of Rheumatology: Volumes 1-2, Tenth Edition