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Ультразвуковое исследование опорно-двигательного аппарата при подагре

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Статья представляет собой иллюстрированный обзор литературы, посвященный ультразвуковому исследованию опорно-двигательного аппарата при подагре, являющейся наиболее распространенной причиной воспалительных артропатий у взрослых. На настоящий момент среди методов визуализации ультразвуковое исследование представляет наилучшие возможности в диагностике и мониторировании подагры, позволяя выявить депозиты моноурата натрия в различных структурах суставов, определить наличие и выраженность синовиального воспаления, в том числе для оценки динамики в ответ на уратснижающюю терапию. С позиций последних клинических рекомендаций даны представления об основных эхографических признаках подагры (признак двойного контура, тофусы, агрегаты и эрозии), позволяющих правильно интерпретировать выявленные изменения для своевременной диагностики подагрической артропатии, дифференциальной диагностики и оценки на фоне лечебных мероприятий.

Ключевые слова:
ультразвуковое исследование, подагра, гиперурикемия, признак двойного контура, тофус, агрегаты, эрозии, ultrasound, gout, hyperuricemia, double contour sign, tophus, aggregates, erosions

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Musculoskeletal ultrasound in gout.

The article presents a pictorial literature review on musculoskeletal ultrasound in gout, which is the most common cause of inflammatory arthropathy in adults. Nowadays, among imaging modalities, ultrasound provides the best capabilities for gout diagnosing and monitoring by revealing of monosodium urate deposits in various joint structures, assessing the presence and severity of synovial inflammation, including for dynamical evaluation on urate-lowering therapy. The main ultrasound features of gout (double contour sign, tophi, aggregates and erosions) are described according to the current clinical guidelines. Knowing of these features provides the correct interpretation of ultrasound findings for timely diagnosis and differential diagnosis of gouty arthropathy, and dynamical assessment on therapy.

Keywords:
ультразвуковое исследование, подагра, гиперурикемия, признак двойного контура, тофус, агрегаты, эрозии, ultrasound, gout, hyperuricemia, double contour sign, tophus, aggregates, erosions