Tophaceous Gout Mimicking a Neoplasm of the Patella.

IF 1.1 4区 医学 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Seminars in Musculoskeletal Radiology Pub Date : 2025-02-01 Epub Date: 2025-02-11 DOI:10.1055/s-0044-1800845
Gwendolyn Vuurberg, Jacky W J de Rooy, Filip M Vanhoenacker
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Abstract

Tophaceous gout of the patella and extensor apparatus of the knee can mimic a musculoskeletal neoplasm. Considering gout, correlation with clinical history and presentation, and meticulous analysis of imaging semiology are key to a correct diagnosis. The most useful signs are periarticular erosion with overhanging edges, increased soft tissue on radiography and computed tomography, the "snowstorm sign" on ultrasound, variable signal and enhancement, bandlike infiltration of tendons, and osseous erosions with no or little bone marrow edema on magnetic resonance imaging. Dual-energy computed tomography is both a sensitive and specific tool for noninvasive characterization of gout and for differentiating other crystal arthropathies.

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模拟髌骨肿瘤的结石性痛风。
髌骨和膝关节伸肌的痛风可以模拟肌肉骨骼肿瘤。考虑到痛风的临床病史和表现,仔细分析影像学符号学是正确诊断的关键。最有用的征象是关节周围糜烂,边缘突出,x线摄影和计算机断层摄影上软组织增多,超声上的“暴风雪征”,可变信号和增强,肌腱带状浸润,磁共振成像上没有或很少骨髓水肿的骨糜烂。双能计算机断层扫描是一种敏感和特异的工具,用于非侵入性表征痛风和鉴别其他晶体关节病。
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来源期刊
CiteScore
2.50
自引率
7.10%
发文量
112
审稿时长
>12 weeks
期刊介绍: Seminars in Musculoskeletal Radiology is a review journal that is devoted to musculoskeletal and associated imaging techniques. The journal''s topical issues encompass a broad spectrum of radiological imaging including body MRI imaging, cross sectional radiology, ultrasound and biomechanics. The journal also covers advanced imaging techniques of metabolic bone disease and other areas like the foot and ankle, wrist, spine and other extremities. The journal''s content is suitable for both the practicing radiologist as well as residents in training.
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