Diagnosis of gout by ultrasound
Diagnosis of gout by ultrasound
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DOI：
10.1093/rheumatology/kem058
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发表时间：
2007-07-01
期刊：
影响因子：
5.5
通讯作者：
Schlesinger, N.
中科院分区：
文献类型：
--
作者：
Thiele, R. G.;Schlesinger, N.
目标。确定超声检查 (US) 在诊断痛风方面的有用性，并确定是否存在痛风特征而非其他关节病特征的超声特征。方法。我们回顾性地将痛风患者的关节图像与其他风湿性疾病患者的匹配图像进行比较。对 23 名单钠尿酸钠 (MSU) 晶体证实的痛风患者的 37 个关节的图像进行了审查。在每位患者的至少一个关节中均发现了 MSU 晶体。我们的对照组随机选择了 23 名患者，检查了 33 个患有痛风以外风湿性疾病的关节。结果。具体的诊断特征包括关节软骨表面边缘上方的高回声、不规则带，在 92% 的痛风关节中被描述为双轮廓征，而在所有对照中均未出现（P
Objectives. To establish the usefulness of ultrasonography (US) for diagnosing gout and to determine whether there are sonographic features that are characteristic for gout but not for other arthropathies.Methods. We retrospectively compared joint images of gout patients with matching images from patients with other rheumatic conditions. Images of 37 joints of 23 patients with monosodium urate (MSU) crystal-proven gout were reviewed. MSU crystals were identified in at least one joint in each patient. Our control group had 23 randomly selected patients with 33 examined joints with rheumatic conditions other than gout.Results. Specific diagnostic features included a hyperechoic, irregular band over the superficial margin of the articular cartilage described as a double contour sign in 92% of gouty joints and in none of the controls (P