GOUT

Question 1

What are the Xray characteristics of gout ?

Answer 1

Soft tissue - Swelling/ effusion/ Gas and tophi in the soft tissue
Bone - Regional Osteopenia, Rat- Bite erosions.

Question 2

What do the bony erosions look like in gout ?

Answer 2

RAT BITE EROSIONS - They tend to occur away from the joint margins. Spherical with a deep punched out appearance. They have sclerotic borders.

Question 3

what blood marker is used to asses for gout ?

Answer 3

Uric acid. This causes uric acid crystals around the joint.

Question 4

What is Gout ?

Answer 4

It is a form of a crystal arthropathy. This occurs when crystal of uric acid accumulate on the articular cartilage with provokes an inflammatory response.

Question 5

When is gout usually seen ?

Answer 5

Patients who under excrete urate due to kidney impairment .

Question 6

What can secondary signs of gout include ?

Answer 6

Extensive bony destruction, joint space narrowing and deformity.

Question 7

How long does it take for gout to be seen on Xray ?

Answer 7

4-6 years of living with gout.

Question 8

What is the distribution of gout?

Answer 8

Any joint.
Most commonly MTPJ, mid foot region.