Gouty arthritis: a prospective radiographic evaluation of sixty patients

A prospective analysis of 60 patients with gout was undertaken to evaluate the radiographic spectrum of gouty arthritis in patients treated in the era of hypouricemic therapy. Twenty-two of these patients were clinically tophaceous; 36 were considered to have radiographic findings diagnostic of gout...

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Bibliographic Details
Published in:Skeletal radiology 1984, Vol.11 (1), p.1-8
Main Authors: BARTHELEMY, C. R, NAKAYAMA, D. A, CARRERA, G. F, LIGHTFOOT, R. W. JR, WORTMANN, R. L
Format: Article
Language:English
Subjects:
Ankle Joint - diagnostic imaging
Arthritis - diagnostic imaging
Arthrography
Biological and medical sciences
Elbow Joint - diagnostic imaging
Female
Finger Joint - diagnostic imaging
Gout - diagnostic imaging
Hip Joint - diagnostic imaging
Humans
Knee Joint - diagnostic imaging
Male
Medical sciences
Metabolic diseases
Middle Aged
Other metabolic disorders
Prospective Studies
Purines and pyrimidines (gout, hyperuricemia...)
Toe Joint - diagnostic imaging
Wrist Joint - diagnostic imaging
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Summary:A prospective analysis of 60 patients with gout was undertaken to evaluate the radiographic spectrum of gouty arthritis in patients treated in the era of hypouricemic therapy. Twenty-two of these patients were clinically tophaceous; 36 were considered to have radiographic findings diagnostic of gouty arthritis by strict radiographic criteria. Up to 24% of the patients denied symptoms in joints with radiographic changes of gout; 42% with no evidence of tophi on clinical examination had radiographic changes characteristic of gout. Radiographic assessment can be extremely helpful in the management of gout by documenting the degree and extent of bony involvement, particularly in patients with limited symptoms or without clinical tophi.
ISSN:0364-2348
1432-2161
DOI:10.1007/BF00361124