Interés del ultrasonido en el diagnóstico de gota / Diagnosis of gout by ultrasound

ABSTRACT

We present the case of a 60-year-old woman, without morbidity or trauma, with right elbow swelling after protein and alcohol overfeeding. Joint radiography was normal. Swelling remained refractory to anti- inflammatory therapy. A right elbow ultrasonography was made, finding a hyperechoic, irregular band over the superficial margin of the humeral cartilage, and synovitis in olecranon fossa. The study of articular liquid confirmed the presence of urate crystals. This shows that a double contour sign in cartilage using ultrasonography can be useful in the diagnosis of gout.