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급성 통풍성 관절염의 영상소견 : MR 소견을 중심으로

Imaging Findings of Acute Gouty Arthritis : Emphasis on MR Findings,

이경규 (Lee, Gyung Kyu, 경상대학교 대학원)

원문보기

  • 주제(키워드) Gout , Joints , MR , Arthritis
  • 발행기관 경상대학교 대학원
  • 지도교수 나재범
  • 발행년도 2006
  • 학위수여년월 2006. 8
  • 학위명 석사
  • 소속대학원 및 학과 대학원 의학과
  • 전공 진단방사선과
  • 원문페이지 iv, 33
  • 본문언어 한국어
초록/요약moremore
The purpose of this study was to describe the clinical and MR imaging features of acute gouty arthritis and to define the characteristic findings which would be helpful for differentiating acute gouty arthritis from septic arthritis. The author retrospectively reviewed seven patients with acute gou...
The purpose of this study was to describe the clinical and MR imaging features of acute gouty arthritis and to define the characteristic findings which would be helpful for differentiating acute gouty arthritis from septic arthritis. The author retrospectively reviewed seven patients with acute gouty arthritis. MR imaging findings were analyzed focusing on joint effusion, subchondral bone erosion, bone marrow edema, synovial thickening (regular and even, or irregular and nodular), and soft tissue change (edema or abscess). The clinical records of the patients were reviewed with regard to age and sex , clinical presentation, and laboratory findings (serum uric acid, WBC, erythrocyte sedimentation rate (ESR), C-reactive protein, synovial fluid culture). The patients consisted of six men and one woman, whose mean age was 41 years (age range, 24-65 years). The joints involved were the knee (n=6), and ankle (n=1). Two patients had medical history of gouty attacks involving the first metatarsophalangeal joint. In six cases, serum uric acid level during acute attack was elevated. In all patients, the affected joint becomes swollen, hot, erythematous, and extremely tender, accompanied by high ESR, high C-reactive protein at the time of presentation. Results of Gram stain and the culture of synovial fluid were negative. In all patients, MR images showed large amount of joint effusion, thick irregular and nodular synovial thickening, and soft tissue edema without subchondral bone erosions and soft tissue abscess. In one case, subchondral bone marrow edema of medial femoral condyle was present. In five cases, there were multiple low signal foci in the joint on spin-echo T2-weighted MR image. Even though MR imaging findings of acute gouty arthritis are nonspecific, it should be considered as a possible diagnosis when large amount of joint effusion, irregular and nodular synovial thickening, and soft tissue edema without subchondral bone erosion, bone marrow edema or soft tissue abscess are seen in the knee or ankle joint, especially if accompanied by clinical and laboratory features of infection
목차moremore
Ⅰ. 서론 1
Ⅱ. 연구 목적 3
Ⅲ. 연구대상 및 방법 4
...
Ⅰ. 서론 1
Ⅱ. 연구 목적 3
Ⅲ. 연구대상 및 방법 4
Ⅳ. 결과 7
Ⅵ. 고찰 9
Ⅵ. 결론 18
참고 문헌 29