Spinal gout diagnosed by dual-energy CT: A case report

Radiology Case Reports

article

Vivek Gupta¹  John Murray¹  Amit Desai¹  Amit Agarwal¹  Pavan Brahmbhatt¹  Prasanna Vibhute¹ 

[1]Mayo Clinic, Florida, 4500 San Pablo Rd, Mayo Clinic

关键词: Dual-energy computed tomography;    Spinal gout;    Axial gout;    Gout;    CT;   

DOI  :  10.1016/j.radcr.2022.08.009

学科分类：生物化学工程

来源: University of Washington * Department of Radiology

【 摘 要 】

Axial gout is an atypical presentation of gout caused by monosodium urate deposition in the axial skeleton . Spinal gout presents nonspecifically and can be a difficult diagnosis. The diagnosis of gout is a clinical one, with imaging and labs providing supporting evidence. Current imaging modalities such as magnetic resonance, computed tomography , and X-ray can be nonspecific and lead to invasive procedures for diagnosis. Dual-energy computed tomography allows clear visualization of urate collection and is a valuable tool to make a confident diagnosis of spinal gout. Here, we present a case of a man with longstanding severe gout in which dual-energy computed tomography played a key role in diagnosis.

【 授权许可】

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