Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
Skeletal Radiology
Erschienen in: Skeletal Radiology 4/2015

01.04.2015 | Review Article

The radiographic and MRI features of gout referred as suspected soft tissue sarcoma: a review of the literature and findings from 27 cases

verfasst von: Neil Upadhyay, Asif Saifuddin

Erschienen in: Skeletal Radiology | Ausgabe 4/2015

Einloggen, um Zugang zu erhalten

Abstract

Gout has been termed the “great mimicker”, for its ability to resemble other pathological conditions. Whilst the typical imaging features of gout are well described, there is a relative paucity of literature describing more challenging cases of gout, where a malignant tumour has been considered in the differential diagnosis. The aim of this article is to provide an overview of the radiographic and MRI features of 27 cases of gout that were initially referred to our centre as suspected soft tissue sarcoma, alongside a review of the literature.
Literatur
1.
Cimmino MA, Zampogna G, Parodi M, Andracco R, Barbieri F, Paparo F, et al. MRI synovitis and bone lesions are common in acute gouty arthritis of the wrist even during the first attack. Ann Rheum Dis. 2011;70(12):2238–9.CrossRefPubMed
2.
Dhanda S, Jagmohan P, Quek S. A re-look at an old disease: a multimodality review on gout. Clin Radiol. 2012;67(2):193.CrossRef
3.
Amber H, Singh VA, Azura M. Gouty tophi mimicking synovial sarcoma of the knee joint. Turk J Rheumatol. 2012;27(3):208–11.CrossRef
4.
Du Y, Pullman-Mooar S, Schumacher HR. Synovial sarcoma of the foot mimicking acute gouty arthritis. J Rheumatol. 2005;32(10):2006–8.PubMed
5.
Morton MJ, Berquist TH, McLeod RA, Unni KK, Sim FH. MR imaging of synovial sarcoma. Am J Roentgenol. 1991;156(2):337–40.CrossRef
6.
Narváez J, Narváez J, Aguilera C, De Lama E, Portabella F. MR imaging of synovial tumors and tumor-like lesions. Eur Radiol. 2001;11(12):2549–60.CrossRefPubMed
7.
O’Sullivan P, Harris A, Munk P. Radiological features of synovial cell sarcoma. Br J Radiol. 2008;81(964):346–56.CrossRefPubMed
8.
Murphey MD, Gibson MS, Jennings BT, Crespo-Rodríguez AM, Fanburg-Smith J, Gajewski DA. Imaging of synovial sarcoma with radiologic-pathologic correlation. Radiographics. 2006;26(5):1543–65.CrossRefPubMed
9.
10.
Li TJ, Lue KH, Lin ZI, Lu KH. Arthroscopic treatment for gouty tophi mimicking an intra-articular synovial tumor of the knee. Arthroscopy. 2006;22(8):910.e1–3.CrossRef
11.
Melloni P, Valls R, Yuguero M, Larrosa M. Unusual imaging manifestations of intraosseous tophaceous gout of the patella. J Rheumatol. 2005;32(5):959–61.PubMed
12.
13.
Garcia CO, Kutzbach AG, Espinoza LR. Characteristics of gouty arthritis in the Guatemalan population. Clin Rheumatol. 1997;16(1):45–50.CrossRefPubMed
14.
15.
Gerster JC, Landry M, Rappoport G, Rivier G, Duvoisin B, Schnyder P. Enthesopathy and tendinopathy in gout: computed tomographic assessment. Ann Rheum Dis. 1996;55(12):921–3.CrossRefPubMedCentralPubMed
16.
Forbess LJ, Fields TR. The broad spectrum of urate crystal deposition: unusual presentations of gouty tophi. Semin Arthritis Rheum. 2012;42(2):146–54.CrossRefPubMed
17.
Mahoney PG, James PD, Howell CJ, Swannell AJ. Spontaneous rupture of the Achilles tendon in a patient with gout. Ann Rheum Dis. 1981;40(4):416–8.CrossRefPubMedCentralPubMed
18.
Iwamoto T, Toki H, Ikari K, Yamanaka H, Momohara S. Multiple extensor tendon ruptures caused by tophaceous gout. Mod Rheumatol. 2010;20(2):210–2.CrossRefPubMed
19.
Poh YJ, Dalbeth N, Doyle A, McQueen FM. Magnetic resonance imaging bone edema is not a major feature of gout unless there is concomitant osteomyelitis: 10-year findings from a high-prevalence population. J Rheumatol. 2011;38(11):2475–81.CrossRefPubMed
20.
Lagoutaris ED, Adams HB, DiDomenico LA, Rothenberg RJ. Longitudinal tears of both peroneal tendons associated with tophaceous gouty infiltration. A case report. J Foot Ankle Surg. 2005;44(3):222–4.CrossRefPubMed
21.
Narváez JA, Narváez J, Ortega R, De Lama E, Roca Y, Vidal N. Hypointense synovial lesions on T2-weighted images: differential diagnosis with pathologic correlation. Am J Roentgenol. 2003;181(3):761–9.CrossRef
22.
Bloch C, Hermann G, Yu TF. A radiologic reevaluation of gout: a study of 2,000 patients. Am J Roentgenol. 1980;134(4):781–7.CrossRef
23.
Schlesinger N, Thiele RG. The pathogenesis of bone erosions in gouty arthritis. Ann Rheum Dis. 2010;69(11):1907–12.CrossRefPubMed
24.
Choi MH, MacKenzie JD, Dalinka MK. Imaging features of crystal-induced arthropathy. Rheum Dis Clin N Am. 2006;32(2):427–46.CrossRef
25.
Martel W. The overhanging margin of bone: a roentgenologic manifestation of gout. Radiology. 1968;91(4):755–6.CrossRefPubMed
26.
Rothschild BM, Heathcote GM. Characterization of gout in a skeletal population sample: presumptive diagnosis in a micronesian population. Am J Phys Anthropol. 1995;98(4):519–25.CrossRefPubMed
27.
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. 2009;68(8):1290–5.CrossRefPubMed
28.
McQueen FM, Doyle A, Reeves Q, Gao A, Tsai A, Gamble GD, et al. Bone erosions in patients with chronic gouty arthropathy are associated with tophi but not bone oedema or synovitis: new insights from a 3 T MRI study. Rheumatology. 2014;53(1):95–103.CrossRefPubMed
29.
McQueen FM, Chhana A, Dalbeth N. Mechanisms of joint damage in gout: evidence from cellular and imaging studies. Nat Rev Rheumatol. 2012;8(3):173–81.CrossRefPubMed
30.
Chen CK, Yeh LR, Pan HB, Yang CF, Lu YC, Wang JS, et al. Intra-articular gouty tophi of the knee: CT and MR imaging in 12 patients. Skeletal Radiol. 1999;28(2):75–80.CrossRefPubMed
31.
Chen CK, Chung CB, Yeh L, Pan HB, Yang CF, Lai PH, et al. Carpal tunnel syndrome caused by tophaceous gout: CT and MR imaging features in 20 patients. AJR Am J Roentgenol. 2000;175(3):655–9.CrossRefPubMed
32.
De Avila Fernandes E, Kubota ES, Sandim GB, Mitraud SA, Ferrari AJ, Fernandes AR. Ultrasound features of tophi in chronic tophaceous gout. Skeletal Radiol. 2011;40(3):309–15.CrossRefPubMed
33.
Yu J, Chung C, Recht M, Dailiana T, Jurdi R. MR imaging of tophaceous gout. AJR Am J Roentgenol. 1997;168(2):523–7.CrossRefPubMed
34.
35.
Paparo F, Zampogna G, Fabbro E, Parodi M, Andracco R, Ferrero G, et al. Imaging of tophi with an extremity-dedicated MRI system. Clin Exp Rheumatol. 2011;29(3):519–26.PubMed
36.
Carter JD, Kedar RP, Anderson SR, Osorio AH, Albritton NL, Gnanashanmugam S, et al. An analysis of MRI and ultrasound imaging in patients with gout who have normal plain radiographs. Rheumatology. 2009;48(11):1442–6.CrossRefPubMed
37.
Perez-Ruiz F, Martin I, Canteli B. Ultrasonographic measurement of tophi as an outcome measure for chronic gout. J Rheumatol. 2007;34(9):1888–93.PubMed
38.
Perez-Ruiz F, Calabozo M, Pijoan JI, Herrero-Beites AM, Ruibal A. Effect of urate-lowering therapy on the velocity of size reduction of tophi in chronic gout. Arthritis Care Res. 2002;47(4):356–60.CrossRef
39.
Ko KH, Hsu YC, Lee HS, Lee CH, Huang GS. Tophaceous gout of the knee: revisiting MRI patterns in 30 patients. J Clin Rheumatol. 2010;16(5):209–14.CrossRefPubMed
40.
Dalbeth N, Doyle AJ. Imaging of gout—an overview. Best Pract Res Clin Rheumatol. 2012;26(6):823–38.CrossRefPubMed
41.
Desai MA, Peterson JJ, Garner HW, Kransdorf MJ. Clinical utility of dual-energy CT for evaluation of tophaceous gout. Radiographics. 2011;31(5):1365–75.CrossRefPubMed
42.
Barthelemy C, Nakayama D, Carrera G, Lightfoot Jr R, Wortmann R. Gouty arthritis: a prospective radiographic evaluation of sixty patients. Skeletal Radiol. 1984;11(1):1–8.CrossRefPubMed
43.
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. 2008;18(3):621–30.CrossRefPubMed
44.
Brant WE, Helms CA. Fundamentals of diagnostic radiology. Philadelphia: Lippincott Williams & Wilkins; 2012.
45.
Zhang W, Doherty M, Pascual E, Bardin T, Barskova V, Conaghan P, et al. EULAR evidence based recommendations for gout. I. Diagnosis. Report of a task force of the standing committee for international clinical studies including therapeutics (ESCISIT). Ann Rheum Dis. 2006;65(10):1301–11.CrossRefPubMedCentralPubMed
46.
Girish G, Glazebrook KN, Jacobson JA. Advanced imaging in gout. Am J Roentgenol. 2013;201(3):515–25.CrossRef
47.
Harris MD, Siegel LB, Alloway JA. Gout and hyperuricemia. Am Fam Physician. 1999;59(4):925–34.PubMed
48.
Urano W, Yamanaka H, Tsutani H, Nakajima H, Matsuda Y, Taniguchi A, et al. The inflammatory process in the mechanism of decreased serum uric acid concentrations during acute gouty arthritis. J Rheumatol. 2002;29(9):1950–3.PubMed
49.
Gerster JC, Landry M, Duvoisin B, Rappoport G. Computed tomography of the knee joint as an indicator of intraarticular tophi in gout. Arthritis Rheum. 1996;39(8):1406–9.CrossRefPubMed
50.
Gerster JC, Landry M, Dufresne L, Meuwly JY. Imaging of tophaceous gout: computed tomography provides specific images compared with magnetic resonance imaging and ultrasonography. Ann Rheum Dis. 2002;61(1):52–4.CrossRefPubMedCentralPubMed
51.
Thiele RG, Schlesinger N. Ultrasonography shows disappearance of monosodium urate crystal deposition on hyaline cartilage after sustained normouricemia is achieved. Rheumatol Int. 2010;30(4):495–503.CrossRefPubMed
52.
Lai K-L, Chiu Y-M. Role of ultrasonography in diagnosing gouty arthritis. J Med Ultrasound. 2011;19(1):7–13.CrossRef
53.
Thiele RG, Schlesinger N. Diagnosis of gout by ultrasound. Rheumatology. 2007;46(7):1116–21.CrossRefPubMed
54.
Nicolaou S, Yong-Hing CJ, Galea-Soler S, Hou DJ, Louis L, Munk P. Dual-energy CT as a potential new diagnostic tool in the management of gout in the acute setting. Am J Roentgenol. 2010;194(4):1072–8.CrossRef
55.
Choi HK, Al-Arfaj AM, Eftekhari A, Munk PL, Shojania K, Reid G, et al. Dual energy computed tomography in tophaceous gout. Ann Rheum Dis. 2009;68(10):1609–12.CrossRefPubMed
56.
Glazebrook KN, Kakar S, Ida CM, Laurini JA, Moder KG, Leng S. False-negative dual-energy computed tomography in a patient with acute gout. J Clin Rheumatol. 2012;18(3):138–41.CrossRefPubMed
Metadaten
Titel
The radiographic and MRI features of gout referred as suspected soft tissue sarcoma: a review of the literature and findings from 27 cases
verfasst von
Neil Upadhyay
Asif Saifuddin
Publikationsdatum
01.04.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
Skeletal Radiology / Ausgabe 4/2015
Print ISSN: 0364-2348
Elektronische ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-014-2005-4

Weitere Artikel der Ausgabe 4/2015

Skeletal Radiology 4/2015 Zur Ausgabe

Browser's Notes

Browser’s notes

Test Yourself: Question

Anterior knee pain

Scientific Article

Usefulness of increased 18F-FDG uptake for detecting local recurrence in patients with extremity osteosarcoma treated with surgical resection and endoprosthetic replacement

Scientific Article

Computer-aided and manual quantifications of MRI synovitis, bone marrow edema-like lesions, erosion and cartilage loss in rheumatoid arthritis of the wrist

Case Report

Soft tissue hemangioma with osseous extension: a case report and review of the literature

Scientific Article

Intramuscular leukemic relapse: clinical signs and imaging findings. A multicentric analysis

Neu im Fachgebiet Radiologie

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

S3-Leitlinie zu Pankreaskrebs aktualisiert

23.04.2024 Pankreaskarzinom Nachrichten

Die Empfehlungen zur Therapie des Pankreaskarzinoms wurden um zwei Off-Label-Anwendungen erweitert. Und auch im Bereich der Früherkennung gibt es Aktualisierungen.

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

18.04.2024 Pädiatrische Notfallmedizin Nachrichten

Im Choosing-Wisely-Programm, das für die deutsche Initiative „Klug entscheiden“ Pate gestanden hat, sind erstmals Empfehlungen zum Umgang mit Notfällen von Kindern erschienen. Fünf Dinge gilt es demnach zu vermeiden.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise