title: [Dual-energy computer tomography can be used for gout diagnostics].
abstract: Gout is a potentially destructive inflammatory disorder occurring in the setting of hyperuricaemia and urate crystal deposition in tissue. It is often overlooked or treated insufficiently. Early diagnosis is important to prevent joint destruction and to prevent the systemic effects of inflammatory disease. This is a case report of a 48-year-old male with intermittent swellings of both wrists where polarized microscopy was unable to confirm the diagnosis. Dual-energy computed tomography showed urate crystals in both wrists, and urate lowering therapy normalised the plasma urate levels. The patient was without joint swellings or pain.
authors: Reumatologisk Afdeling, Sygehus Vendsyssel, Hjørring, Bispensgade 37, 9800 Hjørring. s.joergensen@rn.dk.
authors: Steen Hylgaard
authors: SH
authors: Jørgensen
authors: Esben Toftegaard
authors: ET
authors: Knudsen
authors: Claus
authors: C
authors: Rasmussen
mesh_terms: D000493:Allopurinol / Q000008:administration & dosage / Q000627:therapeutic use; D006073:Gout / Q000000981:diagnostic imaging* / Q000188:drug therapy; D006074:Gout Suppressants / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D015900:Radiography, Dual-Energy Scanned Projection / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods*; D014527:Uric Acid / Q000032:analysis; D014955:Wrist Joint / Q000000981:diagnostic imaging
chemical_list: D006074:Gout Suppressants; D014527:Uric Acid; D000493:Allopurinol