Imaging integrato nella gotta cronica tofacea

Translated title of the contribution: Multimodality imaging of chronic tophaceous gout

F. Paparo, L. M. Sconfienza, A. Muda, A. Denegri, R. Piccazzo, E. Aleo, M. A. Cimmino

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

The diagnosis of gout is usually based on clinical presentation and laboratory findings. Imaging plays a role in the assessment and grading of articular damage related to chronic, long-standing disease, which is characterized by granulomatous synovitis, tophi, and erosions. Multimodality imaging of chronic tophaceous gout may be useful in clinical practice for a variety of purposes, including assessment of disease-related anatomical changes and monitoring of articular and soft-tissue lesions over time, especially in response to urate-lowering therapy. Radiography remains the primary imaging technique. Ultrasonography may detect monosodium urate crystals on cartilage, is helpful to assess small joint effusion, to guide to joint aspiration, and to evaluate the volume of tophi. Computed tomography is considered to be more sensitive than plain radiography in the detection and evaluation of cortical bone erosions associated with tophi. MRI represents the only imaging modality which provides visualization of bone marrow oedema associated with erosions and may be useful to characterize and distinguish tophi from other soft tissue nodules.

Original languageItalian
Pages (from-to)286-291
Number of pages6
JournalReumatismo
Volume62
Issue number4
Publication statusPublished - 2010

Fingerprint

Gout
Joints
Uric Acid
Radiography
Synovitis
Cartilage
Ultrasonography
Edema
Bone Marrow
Tomography
Therapeutics

ASJC Scopus subject areas

  • Rheumatology

Cite this

Paparo, F., Sconfienza, L. M., Muda, A., Denegri, A., Piccazzo, R., Aleo, E., & Cimmino, M. A. (2010). Imaging integrato nella gotta cronica tofacea. Reumatismo, 62(4), 286-291.

Imaging integrato nella gotta cronica tofacea. / Paparo, F.; Sconfienza, L. M.; Muda, A.; Denegri, A.; Piccazzo, R.; Aleo, E.; Cimmino, M. A.

In: Reumatismo, Vol. 62, No. 4, 2010, p. 286-291.

Research output: Contribution to journalArticle

Paparo, F, Sconfienza, LM, Muda, A, Denegri, A, Piccazzo, R, Aleo, E & Cimmino, MA 2010, 'Imaging integrato nella gotta cronica tofacea', Reumatismo, vol. 62, no. 4, pp. 286-291.
Paparo F, Sconfienza LM, Muda A, Denegri A, Piccazzo R, Aleo E et al. Imaging integrato nella gotta cronica tofacea. Reumatismo. 2010;62(4):286-291.
Paparo, F. ; Sconfienza, L. M. ; Muda, A. ; Denegri, A. ; Piccazzo, R. ; Aleo, E. ; Cimmino, M. A. / Imaging integrato nella gotta cronica tofacea. In: Reumatismo. 2010 ; Vol. 62, No. 4. pp. 286-291.
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