关节炎鉴别诊断__培训课件.pptVIP

Known tophaceous gout. (a) Photograph obtained at clinical examination of an index finger shows soft-tissue swelling and deformity of the proximal interphalangeal joint. (b) Anteroposterior radiograph shows mineralized tophus and classic periarticular “rat bite” erosions (circle) at the proximal interphalangeal joint of the index finger. (c, d) Diagnostic CT (c) and color-coded composition CT (d) images obtained with postprocessing techniques by using data from dual-energy CT show uric acid deposits (green areas in d) within the tophus and at additional clinically occult sites. These uric acid