Copenhagen Center for Arthritis Research (COPECARE), Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Copenhagen, Denmark.
Copenhagen Center for Arthritis Research (COPECARE), Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Copenhagen, and Department of Clinical Medicine, University of Copenhagen, Denmark.
Clin Exp Rheumatol. 2018 Sep-Oct;36 Suppl 114(5):61-67. Epub 2018 Oct 1.
The use of ultrasonography has a considerable potential for diagnosis and monitoring of gout due to its capacity to detect urate crystal deposits in joints, e.g. on the cartilage surface, visualised as the double contour sign, and in soft tissues, e.g. as tophi. Furthermore, ultrasonography can visualise both synovitis and bone erosion. Consensus-based definitions for ultrasonographic elementary lesions in gout were validated in 2015, and ultrasonography is already included in the 2015 ACR/EULAR classification criteria for gout. This report evaluates the current literature on the use of ultrasonography for diagnosing and monitoring gout.
超声检查由于能够检测关节（如软骨表面的双轨征）和软组织（如痛风石）中的尿酸盐晶体沉积，因此在痛风的诊断和监测方面具有相当大的潜力。此外，超声检查还可以显示滑膜炎和骨侵蚀。2015 年，超声检查中痛风的基本病变的基于共识的定义得到了验证，并且超声检查已经被纳入 2015 年 ACR/EULAR 痛风分类标准。本报告评估了超声检查在诊断和监测痛风方面的应用的现有文献。
