eMedicine Specialties > Radiology > Musculoskeletal

Gout: Multimedia

Author: Christopher D Smelser, DO, Staff Physician, Department of Radiology, William Beaumont Army Medical Center
Coauthor(s): Robert D Stoffey, DO, Director of Women's Imaging, Department of Radiology, Chief of Mammography Section, William Beaumont Army Medical Center; Amilcare Gentili, MD, Professor of Clinical Radiology, University of California at San Diego; Consulting Staff, Department of Radiology, Thornton Hospital; Chief of Radiology, San Diego VA Health Care System
Contributor Information and Disclosures

Updated: Aug 27, 2009

Multimedia

Radiograph of the foot in a patient with chronic ...Media file 1: Radiograph of the foot in a patient with chronic gout. Podagra, or first metatarsophalangeal joint pain, can easily be understood when this radiograph is evaluated. Sclerosis and joint-space narrowing are seen in the first metatarsophalangeal joint, as well as in the fourth interphalangeal joint. Image courtesy of Larry Brent, MD.
Radiograph of the foot in a patient with chronic ...

Radiograph of the foot in a patient with chronic gout. Podagra, or first metatarsophalangeal joint pain, can easily be understood when this radiograph is evaluated. Sclerosis and joint-space narrowing are seen in the first metatarsophalangeal joint, as well as in the fourth interphalangeal joint. Image courtesy of Larry Brent, MD.

Radiograph of the hand. On this image of chronic ...Media file 2: Radiograph of the hand. On this image of chronic tophaceous gouty arthritis, extensive bony erosions are noted throughout the carpal bones. Urate depositions may be present in the periarticular areas. Image courtesy of Larry Brent, MD.
Radiograph of the hand. On this image of chronic ...

Radiograph of the hand. On this image of chronic tophaceous gouty arthritis, extensive bony erosions are noted throughout the carpal bones. Urate depositions may be present in the periarticular areas. Image courtesy of Larry Brent, MD.

<A href="http:emedicine.medscape.comfeaturesm...Media file 3: Click here to view a Slideshow presentation of Gout.

More on Gout

Overview: Gout
Imaging: Gout
Follow-up: Gout
Multimedia: Gout
References
Further Reading

References

  1. Dambro MR, ed. Griffith's 5-Minute Clinical Consult: A Reference for Clinicians. 9th ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 2001.

  2. Resnick D. Diagnosis of Bone and Joint Disorders. Vol 3. 3rd ed. Philadelphia, Pa: WB Saunders Co; 1995:1511-39.

  3. Cotran RS, Robbins SL, Kumar V, Schoen FJ, eds. Robbins Pathologic Basis of Disease. 5th ed. Philadelphia, Pa: WB Saunders Co; 1994:1255-8.

  4. Dalbeth N, McQueen FM. Use of imaging to evaluate gout and other crystal deposition disorders. Curr Opin Rheumatol. Mar 2009;21(2):124-31. [Medline].

  5. Perez-Ruiz F, Dalbeth N, Urresola A, de Miguel E, Schlesinger N. Gout. Imaging of gout: findings and utility. Arthritis Res Ther. 2009;11(3):232. [Medline].

  6. Choi HK, Al-Arfaj A, Eftekhari A, Munk PL, Shojania K, Reid G, et al. Dual Energy Computed Tomography in tophaceous gout. Ann Rheum Dis. Dec 9 2008;[Medline].

  7. Rettenbacher T, Ennemoser S, Weirich H, Ulmer H, Hartig F, Klotz W, et al. Diagnostic imaging of gout: comparison of high-resolution US versus conventional X-ray. Eur Radiol. Mar 2008;18(3):621-30. [Medline].

  8. Dalbeth N, Clark B, Gregory K, Gamble G, Sheehan T, Doyle A, et al. Mechanisms of bone erosion in gout: a quantitative analysis using plain radiography and computed tomography. Ann Rheum Dis. Aug 2009;68(8):1290-5. [Medline].

  9. Tavaras JM, Ferrucci JT Jr, eds. Radiology: Diagnosis, Imaging, Intervention. Philadelphia, Pa: JB Lippincott Co; 1993.

  10. Coombs RJ, Pinsky ST, Padanilam TG. Bone scan findings of combined gout and septic arthritis in the same digit. Clin Nucl Med. May 2001;26(5):442-3. [Medline].

  11. Perez-Ruiz F, Martin I, Canteli B. Ultrasonographic measurement of tophi as an outcome measure for chronic gout. J Rheumatol. Sep 2007;34(9):1888-93. [Medline].

  12. Gentili A. The advanced imaging of gouty tophi. Curr Rheumatol Rep. Jun 2006;8(3):231-5. [Medline].

  13. Perez-Ruiz F, Naredo E. Imaging modalities and monitoring measures of gout. Curr Opin Rheumatol. Mar 2007;19(2):128-33. [Medline].

Further Reading

Related eMedicine topics

Gout and Pseudogout

Gout (Ophthalmology)

Gout (Orthopedic Surgery)

Gout (Rheumatology)

Keywords

peripheral arthritis, sodium urate crystals, podagra, hyperuricemia, primary gout, secondary gout, intermediate gout, late-phase gout, pseudogout, tophi, gouty nephropathy, gouty arthritis, first metatarsophalangeal joint pain, probenecid, colchicine, allopurinol, indomethacin

Contributor Information and Disclosures

Author

Christopher D Smelser, DO, Staff Physician, Department of Radiology, William Beaumont Army Medical Center
Christopher D Smelser, DO is a member of the following medical societies: American Osteopathic Association
Disclosure: Nothing to disclose.

Coauthor(s)

Robert D Stoffey, DO, Director of Women's Imaging, Department of Radiology, Chief of Mammography Section, William Beaumont Army Medical Center
Robert D Stoffey, DO is a member of the following medical societies: American College of Radiology, American Medical Association, American Osteopathic Association, American Roentgen Ray Society, and Radiological Society of North America
Disclosure: Nothing to disclose.

Amilcare Gentili, MD, Professor of Clinical Radiology, University of California at San Diego; Consulting Staff, Department of Radiology, Thornton Hospital; Chief of Radiology, San Diego VA Health Care System
Amilcare Gentili, MD is a member of the following medical societies: American Roentgen Ray Society, Radiological Society of North America, and Society of Skeletal Radiology
Disclosure: Nothing to disclose.

Medical Editor

Giuseppe Guglielmi, MD, Associate Professor of Radiology, Department of Radiology, Scientific Institute Hospital
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Lynne S Steinbach, MD, Chief of Musculoskeletal Radiology, Professor, Department of Radiology, University of California at San Francisco
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Resolution Imaging Medical Corporation
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Felix S Chew, MD, MBA, EdM, Professor, Department of Radiology, Vice Chairman for Radiology Informatics, Section Head of Musculoskeletal Radiology, University of Washington
Felix S Chew, MD, MBA, EdM is a member of the following medical societies: American Roentgen Ray Society, Association of University Radiologists, and Radiological Society of North America
Disclosure: Nothing to disclose.

 
 
HONcode

We subscribe to the
HONcode principles of the
Health On the Net Foundation

All material on this website is protected by copyright, Copyright© 1994- by Medscape.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.