Clinics in diagnostic imaging (200)

Clinics in diagnostic imaging (200)

A 39-year-old man presented with acute left knee pain and swelling. There was limitation of movement of the knee joint. His past medical history was significant for gout. Computed radiography showed bony erosions that were not typical of chronic tophaceous gout. Magnetic resonance (MR) imaging showe...

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Veröffentlicht in:Singapore medical journal 2019-10, Vol.60 (10), p.502-507
Hauptverfasser: Lee, YWM, Kok, SXS, Wong, LW, Wong, SBS
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Medical Education
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Kok, SXS
Wong, LW
Wong, SBS
description A 39-year-old man presented with acute left knee pain and swelling. There was limitation of movement of the knee joint. His past medical history was significant for gout. Computed radiography showed bony erosions that were not typical of chronic tophaceous gout. Magnetic resonance (MR) imaging showed focal deposits within the knee joint, which demonstrated isointense signal to muscle on T1-weighted sequence and intermediate signal on proton density (PD) and PD fat-saturated sequences. There was extensive, similar signal abnormality in the cruciate ligaments, popliteus tendon and lateral meniscus. These findings were in keeping with an intra-articular manifestation of chronic tophaceous gout. The clinical presentation and imaging features are herein discussed, with an emphasis on MR imaging.
doi_str_mv 10.11622/smedj.2019129
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title Clinics in diagnostic imaging (200)
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