Ugeskr Læger 2015;177:V10140544
Dual-energy computer tomography can be used for gout diagnostics
Gout is a potentially destructive inflammatory disorder occurring in the setting of hyperuricaemia and urate crystal deposition in tissue. It is often overlooked or treated insufficiently. Early diagnosis is important to prevent joint destruction and to prevent the systemic effects of inflammatory disease. This is a case report of a 48-year-old male with intermittent swellings of both wrists where polarized microscopy was unable to confirm the diagnosis. Dual-energy computed tomography showed urate crystals in both wrists, and urate lowering therapy normalised the plasma urate levels. The patient was without joint swellings or pain.