Tophaceous Gout of the Middle Ear

Tophaceous Gout of the Middle Ear

Tophaceous gout can rarely present in the middle ear as a mass-like lesion, causing conductive hearing loss. Noncontrast high-resolution computed tomography (HRCT) of the temporal bone plays a significant role in the diagnosis. Awareness of this condition among radiologists is important since it pre...

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Veröffentlicht in:Journal of the Belgian Society of Radiology 2024-02, Vol.108 (1), p.11-11
Hauptverfasser: Waumans, Joren, Desloovere, Christian, Devos, Johannes
Format: Artikel
Sprache:eng
Schlagworte:
Analysis
Care and treatment
conductive hearing loss
CT imaging
Diagnosis
ear ossicles
Gout
Medical examination
Middle ear
Otolaryngology
Practice
tomography
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Zusammenfassung:Tophaceous gout can rarely present in the middle ear as a mass-like lesion, causing conductive hearing loss. Noncontrast high-resolution computed tomography (HRCT) of the temporal bone plays a significant role in the diagnosis. Awareness of this condition among radiologists is important since it presents a distinctive appearance on HRCT. We present a case of tophaceous gout of the middle ear diagnosed with photon-counting computed tomography (PCCT). The presence of a partially calcified mass with a semolina-like appearance within the middle ear is highly suggestive of tophaceous gout, even in the presence of normal serum uric acid levels.
ISSN:2514-8281
2514-8281
DOI:10.5334/jbsr.3421