| Ultrasound imaging for the rheumatologist XXXVI. Sonographic assessment of the foot in gout patients. | |
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MedLine Citation:
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PMID: 22206648 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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OBJECTIVES: This study aims to investigate the relationship between clinical and US findings together with the prevalence and distribution of US findings indicative of monosodium urate (MSU) crystal deposition within the foot in patients with gout. METHODS: A total of 50 patients with gout attending the in-patient and the out-patient clinics of the Rheumatology Departments were prospectively enrolled in this multi-centre study. Multiplanar examination of the following 15 joints was performed: talo-navicular, navicular-cuneiform (medial, intermediate and lateral), calcaneo-cuboid, medial, intermediate and lateral cuneiform-metatarsal, cuboid-4th metatarsal, cuboid-5th metatarsal and all five metatarsophalangeal (MTP) joints. RESULTS: The following US findings were indicative of gout: enhancement of the superficial margin of the hyaline cartilage, intra-articular tophus, and extraarticular tophus. In 46 patients, a total of 1380 foot joints were investigated. In 1309 joints that were not clinically involved, US detected signs indicative of joint inflammation in 9% (121/1309). Talo-navicular joint and the first MTP joint were the joints in which the highest number of US findings were found at mid-foot and fore-foot, respectively. At MTP joint level, dorsal scans allowed the detection of a higher number of US findings indicative of joint inflammation, and MSU crystal deposits rather than on the volar plane. CONCLUSIONS: This study demonstrated that US detected a higher number of inflamed foot joints than clinical examination, and that the first MTP and the talo-navicular joints were the anatomic sites with the highest prevalence of US signs of MSU crystal aggregates. |
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Authors:
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Emilio Filippucci; Gary Meenagh; Andrea Delle Sedie; Garifallia Sakellariou; Annamaria Iagnocco; Lucrezia Riente; Marwin Gutierrez; Stefano Bombardieri; Guido Valesini; Carlomaurizio Montecucco; Walter Grassi |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-12-22 |
Journal Detail:
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Title: Clinical and experimental rheumatology Volume: 29 ISSN: 0392-856X ISO Abbreviation: - Publication Date: 2011 Nov |
Date Detail:
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Created Date: 2011-12-30 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8308521 Medline TA: Clin Exp Rheumatol Country: - |
Other Details:
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Languages: ENG Pagination: 901-905 Citation Subset: - |
Affiliation:
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Clinica Reumatologica, Università Politecnica delle Marche, Jesi (Ancona), Italy. emilio_filippucci@yahoo.it. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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