Gout chest x ray: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Gout}} | {{Gout}} | ||
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Please help WikiDoc by adding more content here. It's easy! Click [[Help:How_to_Edit_a_Page|here]] to learn about editing. | |||
==Overview== | ==Overview== | ||
An x-ray is done when gout is suspected to rule out other abnormalities of the bone that may be causing the pain. Most commonly in gout, the x-ray will show no abnormalities, or a small amount of soft tissue swelling. | |||
==X-ray== | |||
* Plain radiographs are often normal, although evidence of asymmetrical swelling and subcortical cysts without erosion may help to diagnose chronic gout.<ref name="pmid167075332">{{cite journal |vauthors=Zhang W, Doherty M, Pascual E, Bardin T, Barskova V, Conaghan P, Gerster J, Jacobs J, Leeb B, Lioté F, McCarthy G, Netter P, Nuki G, Perez-Ruiz F, Pignone A, Pimentão J, Punzi L, Roddy E, Uhlig T, Zimmermann-Gòrska I |title=EULAR evidence based recommendations for gout. Part I: Diagnosis. Report of a task force of the Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT) |journal=Ann. Rheum. Dis. |volume=65 |issue=10 |pages=1301–11 |date=October 2006 |pmid=16707533 |pmc=1798330 |doi=10.1136/ard.2006.055251 |url=}}</ref> | |||
* Radiographic changes are a late feature of chronic gout, typically occurring after 15 years of disease onset, and is almost always present in patients with subcutaneous tophi.<ref name="NakayamaBarthelemy1984">{{cite journal|last1=Nakayama|first1=Denny A.|last2=Barthelemy|first2=Carl|last3=Carrera|first3=Guillermo|last4=Lightfoot|first4=Robert W.|last5=Wortmann|first5=Robert L.|title=Tophaceous Gout: A Clinical and Radiographic Assessment|journal=Arthritis & Rheumatism|volume=27|issue=4|year=1984|pages=468–471|issn=00043591|doi=10.1002/art.1780270417}}</ref> | |||
* Bone erosion is a feature of advanced gout and is characterized by a sclerotic rim and overhanging edge.<ref name="pmid263594872">{{cite journal |vauthors=Neogi T, Jansen TL, Dalbeth N, Fransen J, Schumacher HR, Berendsen D, Brown M, Choi H, Edwards NL, Janssens HJ, Lioté F, Naden RP, Nuki G, Ogdie A, Perez-Ruiz F, Saag K, Singh JA, Sundy JS, Tausche AK, Vaquez-Mellado J, Yarows SA, Taylor WJ |title=2015 Gout classification criteria: an American College of Rheumatology/European League Against Rheumatism collaborative initiative |journal=Ann. Rheum. Dis. |volume=74 |issue=10 |pages=1789–98 |date=October 2015 |pmid=26359487 |pmc=4602275 |doi=10.1136/annrheumdis-2015-208237 |url=}}</ref> | |||
* The joint space is usually preserved until late in the disease, and other features such as periosteal new bone formation, extra-articular erosions, intraosseous calcifications, joint space widening, and subchondral collapse may be present.<ref name="pmid6976085">{{cite journal |vauthors=Resnick D, Broderick TW |title=Intraosseous calcifications in tophaceous gout |journal=AJR Am J Roentgenol |volume=137 |issue=6 |pages=1157–61 |date=December 1981 |pmid=6976085 |doi=10.2214/ajr.137.6.1157 |url=}}</ref> | |||
'''Patient #1''' | |||
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'''Patient #2''' | |||
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==Sources== | |||
Copyleft images obtained courtesy of RadsWiki [http://www.radswiki.net] | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
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[[Category:Needs content]] | |||
[[Category:Arthritis]] | |||
[[Category:Rheumatology]] | |||
[[Category:Disease]] | |||
Latest revision as of 21:55, 29 July 2020
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Gout chest x ray On the Web |
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American Roentgen Ray Society Images of Gout chest x ray |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
An x-ray is done when gout is suspected to rule out other abnormalities of the bone that may be causing the pain. Most commonly in gout, the x-ray will show no abnormalities, or a small amount of soft tissue swelling.
X-ray
- Plain radiographs are often normal, although evidence of asymmetrical swelling and subcortical cysts without erosion may help to diagnose chronic gout.[1]
- Radiographic changes are a late feature of chronic gout, typically occurring after 15 years of disease onset, and is almost always present in patients with subcutaneous tophi.[2]
- Bone erosion is a feature of advanced gout and is characterized by a sclerotic rim and overhanging edge.[3]
- The joint space is usually preserved until late in the disease, and other features such as periosteal new bone formation, extra-articular erosions, intraosseous calcifications, joint space widening, and subchondral collapse may be present.[4]
Patient #1
Patient #2
Sources
Copyleft images obtained courtesy of RadsWiki [2]
References
- ↑ Zhang W, Doherty M, Pascual E, Bardin T, Barskova V, Conaghan P, Gerster J, Jacobs J, Leeb B, Lioté F, McCarthy G, Netter P, Nuki G, Perez-Ruiz F, Pignone A, Pimentão J, Punzi L, Roddy E, Uhlig T, Zimmermann-Gòrska I (October 2006). "EULAR evidence based recommendations for gout. Part I: Diagnosis. Report of a task force of the Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT)". Ann. Rheum. Dis. 65 (10): 1301–11. doi:10.1136/ard.2006.055251. PMC 1798330. PMID 16707533.
- ↑ Nakayama, Denny A.; Barthelemy, Carl; Carrera, Guillermo; Lightfoot, Robert W.; Wortmann, Robert L. (1984). "Tophaceous Gout: A Clinical and Radiographic Assessment". Arthritis & Rheumatism. 27 (4): 468–471. doi:10.1002/art.1780270417. ISSN 0004-3591.
- ↑ Neogi T, Jansen TL, Dalbeth N, Fransen J, Schumacher HR, Berendsen D, Brown M, Choi H, Edwards NL, Janssens HJ, Lioté F, Naden RP, Nuki G, Ogdie A, Perez-Ruiz F, Saag K, Singh JA, Sundy JS, Tausche AK, Vaquez-Mellado J, Yarows SA, Taylor WJ (October 2015). "2015 Gout classification criteria: an American College of Rheumatology/European League Against Rheumatism collaborative initiative". Ann. Rheum. Dis. 74 (10): 1789–98. doi:10.1136/annrheumdis-2015-208237. PMC 4602275. PMID 26359487.
- ↑ Resnick D, Broderick TW (December 1981). "Intraosseous calcifications in tophaceous gout". AJR Am J Roentgenol. 137 (6): 1157–61. doi:10.2214/ajr.137.6.1157. PMID 6976085.