An unusual imaging finding mimicking double contour sign following ultrasound-guided intra-articular knee injection of steroid: A case report

被引:0
作者
Kokar, Serdar [1 ,2 ]
Mercan, Ozlem [3 ]
Akgun, Kenan [4 ]
机构
[1] Marmara Univ, Dept Phys Med & Rehabil, Sect Pain Management, Fac Med, Istanbul, Turkiye
[2] Sanliurfa Training & Res Hosp, Dept Algol, Sanliurfa, Turkiye
[3] Gazi Yasargil Training & Res Hosp, Dept Algol, Diyarbakir, Turkiye
[4] Istanbul Univ Cerrahpasa, Fac Med, Dept Phys Med & Rehabil, Div Pain Management, Istanbul, Turkiye
来源
AGRI-THE JOURNAL OF THE TURKISH SOCIETY OF ALGOLOGY | 2024年 / 36卷 / 04期
关键词
Arthritis; gouty; intraarticular injection; steroids; ultrasound; GOUT; CLASSIFICATION;
D O I
10.14744/agri.2022.10179
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Examination of monosodium urate crystals in the synovial fluid remains the gold standard for the diagnosis of gout. On ultrasound (US) examination, the double contour sign (DCS) is one of the most common imaging findings of gout. In this article, we present, for the first time, a unique imaging finding mimicking DCS after US-guided intra-articular knee injection of steroid and discuss it in light of the literature data.
引用
收藏
页码:269 / 271
页数:3
相关论文
共 13 条
[1]   The Lipid Bilayer Provides a Site for Cortisone Crystallization at High Cortisone Concentrations [J].
Alsop, Richard J. ;
Khondker, Adree ;
Hub, Jochen S. ;
Rheinstaedter, Maikel C. .
SCIENTIFIC REPORTS, 2016, 6
[2]  
Bhadu D, 2018, ACTA REUMATOL PORT, V43, P264
[3]   CRYSTAL STRUCTURE OF STEROID 6BETA,7BETA-METHYLENE-17BETA-HYDROXYANDROST-4-EN-3-ONE 17-ACETATE [J].
BRAUN, PB ;
HORNSTRA, J ;
LEENHOUT.JI .
ACTA CRYSTALLOGRAPHICA SECTION B-STRUCTURAL CRYSTALLOGRAPHY AND CRYSTAL CHEMISTRY, 1970, B 26 :352-+
[4]   A systematic review of ultrasonography in gout and asymptomatic hyperuricaemia [J].
Chowalloor, Priya V. ;
Keen, Helen Isobel .
ANNALS OF THE RHEUMATIC DISEASES, 2013, 72 (05) :638-645
[5]  
Duax W L, 1976, Recent Prog Horm Res, V32, P81
[6]   International Consensus for ultrasound lesions in gout: results of Delphi process and web-reliability exercise [J].
Gutierrez, Marwin ;
Schmidt, Wolfgang A. ;
Thiele, Ralf G. ;
Keen, Helen I. ;
Kaeley, Gurjit S. ;
Naredo, Esperanza ;
Iagnocco, Annamaria ;
Bruyn, George A. ;
Balint, Peter V. ;
Filippucci, Emilio ;
Mandl, Peter ;
Kane, David ;
Pineda, Carlos ;
Delle Sedie, Andrea ;
Hammer, Hilde Berner ;
Christensen, Robin ;
D'Agostino, Maria Antonietta ;
Terslev, Lene .
RHEUMATOLOGY, 2015, 54 (10) :1797-1805
[7]   Additive value for ultrasonographic signal in a screening algorithm for patients presenting with acute mono-/oligoarthritis in whom gout is suspected [J].
Lamers-Karnebeek, F. B. G. ;
Van Riel, P. L. C. M. ;
Jansen, T. L. .
CLINICAL RHEUMATOLOGY, 2014, 33 (04) :555-559
[8]   Distinguishing Gouty Arthritis from Calcium Pyrophosphate Disease and Other Arthritides [J].
Loeffler, Christian ;
Sattler, Horst ;
Peters, Lena ;
Loeffler, Uta ;
Uppenkamp, Michael ;
Bergner, Raoul .
JOURNAL OF RHEUMATOLOGY, 2015, 42 (03) :513-520
[9]  
Neogi T, 2015, ARTHRITIS RHEUMATOL, V67, P2557, DOI [10.1136/annrheumdis-2015-208237, 10.1002/art.39254]
[10]   Imaging modalities for the classification of gout: systematic literature review and meta-analysis [J].
Ogdie, Alexis ;
Taylor, William J. ;
Weatherall, Mark ;
Fransen, Jaap ;
Jansen, Tim L. ;
Neogi, Tuhina ;
Schumacher, H. Ralph ;
Dalbeth, Nicola .
ANNALS OF THE RHEUMATIC DISEASES, 2015, 74 (10) :1868-1874