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Diagnostic use of superb microvascular imaging in evaluating septic arthritis of the manubriosternal joint:A case report

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World Journal of Clinical Cases 2023年第18期11卷 4397-4405页

作者： Goda Seskute dominyka kausaite Ana Chalkovskaja Egle Bulotaite Irena Butrimiene Clinic of Rheumatology Orthopaedics Traumatologyand Reconstructive SurgeryCentre of RheumatologyInstitute of Clinical MedicineFaculty of MedicineVilnius UniversityVilnius 01513Lithuania Clinic of Internal Diseases Family Medicine and OncologyInstitute of Clinical MedicineFaculty of MedicineVilnius UniversityVilnius 01513Lithuania Department of Radiology Nuclear Medicine and Medical PhysicsInstitute of Biomedical SciencesFaculty of MedicineVilnius UniversityVilnius 01513Lithuania

BACKGROUND Septic arthritis of the manubriosternal joint is a diagnostic challenge due to its rarity and anatomical *** ultrasound,plain radiographs,and computed tomography are not able to confirm or even suspect arthritis *** microvascular imaging is a new advanced Doppler technique in evaluating low-flow microvascular *** higher sensitivity for increased perisynovial vascularity helps to suspect septic arthritis and forms a methodical approach to using magnetic resonance imaging(MRI).CASE SUMMARY A 34-year-old immunocompetent woman presented with a fever and a dull ache in the chest radiating to the right *** injury and the most common respiratory and cardiac disorders were ruled *** cultures came back positive for Staphylococcus aureus,and sepsis was confirmed.A small lump was noted on the chest during the first week of *** microvascular imaging was performed and septic arthritis of the manubriosternal joint was *** confirmed the diagnosis and showed septic arthritis of the manubriosternal joint with several localized abscesses behind the *** patient was treated for three weeks with intravenous antibiotics and the outcome was favorable:Inflammatory markers became normal,and the lump *** months later,the patient was examined for a new episode of mild pain in the sternum and was diagnosed with persistent perichondritis by ultrasound in comparison with *** Superb microvascular imaging is a useful tool for the early diagnosis of septic arthritis of the manubriosternal joint and following-up.

关键词： Power Doppler Superb microvascular imaging Ultrasound Septic arthritis Manubriosternal joint Case report

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Multidisciplinary diagnostic dilemma in differentiating Madelung’s disease—the value of superb microvascular imaging technique:A case report

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World Journal of Clinical Cases 2021年第21期9卷 6145-6154页

作者： Goda Seskute Austeja Dapkute dominyka kausaite Sandra Strainiene Andrius Talijunas Irena Butrimiene Clinic of Rheumatology Orthopaedics Traumatologyand Reconstructive SurgeryInstitute of Clinical MedicineFaculty of MedicineVilnius UniversityVilnius 01513Lithuania Clinic of Neurology and Neurosurgery Institute of Clinical MedicineFaculty of MedicineVilnius UniversityVilnius 01513Lithuania Faculty of Medicine Vilnius UniversityVilnius 01513Lithuania Clinic of Gastroenterology Nephrourology and SurgeryInstitute of Clinical MedicineFaculty of MedicineVilnius UniversityVilnius 01513Lithuania Institute of Dentistry Faculty of MedicineVilnius UniversityVilnius 01512Lithuania

BACKGROUND Madelung’s disease,also known as multiple symmetrical lipomatosis,is a rare,underrecognized disorder of fat metabolism that results in unusual accumulation of subcutaneous fat deposits around the neck,shoulders,upper arms,trunk,hips,and upper *** case demonstrates the importance of differential diagnosis and the value of a superb microvascular imaging technique for suspecting and confirming Madelung’s *** diagnosis and alcohol abstinence could prevent the progression of growing fatty masses and prevent *** SUMMARY A 62-year-old male was admitted to the Rheumatology center complaining of symmetric subcutaneous tumors in the area of the parotid and submandibular salivary glands,small soft masses in the occiput and upper third of the forearm,rashes on calves.A high titer of rheumatoid factor and low concentrations of serum complements were *** high-end ultrasound and magnetic resonance imaging examinations of all affected areas of the soft tissues showed predominantly adipose tissue(lipomas)without suspicion of *** biopsy from the small salivary gland revealed no *** evaluating the patient’s clinical presentation(symmetrical lipomatosis,cirrhosis,gynecomastia,anemia,hyperuricemia),Madelung’s disease,type I,along with the psoriatic rash and psoriatic arthritis and secondary liver cirrhosis were *** Madelung’s disease consists of many co-occurring disorders imitating and overlapping with other *** is the first choice for suspecting and confirming symmetrical lipomatosis.

关键词： Madelung’s disease Multiple symmetrical lipomatosis Cirrhosis Salivary gland tumors Superb microvascular imaging Case report

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