Ultrasound in the diagnosis of asymptomatic hyperuricaemia and gout
- PMID: 27282204
- DOI: 10.1016/j.rce.2016.05.007
Ultrasound in the diagnosis of asymptomatic hyperuricaemia and gout
Abstract
The increase in serum urate concentrations (hyperuricaemia, ≥7.0mg/dL) creates crystals, which promote inflammation and joint lesions. Ultrasonography can reveal these urate deposits. The presence of crystals suggests that a patient with hyperuricaemia is actually experiencing asymptomatic gout, and that a patient with gout without subcutaneous tophi could experience tophaceous gout. The information offered by ultrasound (double contour sign and hyperechoic concretions mimicking clouds) enables a more specific classification of hyperuricaemia and gout. Additionally, this information can lead to relevant changes in terms of the diagnosis and therapeutic approach for patients with hyperuricaemia and gout.
Keywords: Double contour sign; Gota; Gout; Hiperuricemia; Hyperuricaemia; Signo del doble contorno; Tofos; Tophi.
Copyright © 2016 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.
Comment in
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Treatment of asymptomatic hyperuricaemia.Rev Clin Esp (Barc). 2017 May;217(4):243-244. doi: 10.1016/j.rce.2017.02.002. Epub 2017 Mar 11. Rev Clin Esp (Barc). 2017. PMID: 28292515 English, Spanish. No abstract available.
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