title: [Rare manifestations of axial skeleton gouty arthropathy].
abstract: Clinical manifestations of gouty arthropathy are usually acute inflammatory arthritis, bursitis and accumulation of urate crystals in the form of tophi. Manifestations on the axial skeleton are also known and have been described but occur infrequently and for this reason play a subordinate role in the awareness of rheumatologists. With dual energy computed tomography (CT) gout tophi can be detected even in unusual regions or regions that are difficult to access for puncturing. We describe two rare cases of gouty arthropathy of the axial skeleton in a 76-year-old male patient with spinal involvement and in a 53-year-old female patient with involvement of the sacroiliac joint. In both cases the diagnosis was achieved with dual energy CT.
authors.affiliation: Klinik für Innere Medizin, Immanuel Krankenhaus Berlin, Standort Berlin-Buch, Berlin, Deutschland. h.bastian@immanuel.de.
authors.forename: H
authors.initials: H
authors.lastname: Bastian
authors.affiliation: Klinik für Innere Medizin, Immanuel Krankenhaus Berlin, Standort Berlin-Buch, Berlin, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Worsch
authors.affiliation: Diagnostische und Interventionelle Radiologie, Klinikum Ernst von Bergmann Potsdam, Potsdam, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Huppertz
authors.affiliation: Klinik für Innere Medizin, Immanuel Krankenhaus Berlin, Standort Berlin-Buch, Berlin, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Krause
authors.affiliation: Klinik für Innere Medizin, Immanuel Krankenhaus Berlin, Standort Berlin-Buch, Berlin, Deutschland.
authors.forename: W A
authors.initials: WA
authors.lastname: Schmidt
mesh_terms: D000368:Aged; D015210:Arthritis, Gouty / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015900:Radiography, Dual-Energy Scanned Projection / Q000379:methods*; D012446:Sacroiliac Joint / Q000000981:diagnostic imaging*; D013122:Spinal Diseases / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed / Q000379:methods*
keywords: Gout; Sacroiliac joint; Spine; Tomography, x‑ray computed, dual energy; Urate