Table 1

Demographic, clinical and US data of patients with gout and CPPD disease with US evidence of DC sign

Patients with gout (n=47)Patients with CPPD disease (n=9)
Age (years, mean (SD))59.9 (14.8)71.8 (7.4)
Sex, female (n (%))3 (6.4%)5 (55.6%)
Body mass index (kg/m2, mean (SD))25.9 (4.8)25.0 (2.3)
Familiar history of gout (n (%))11 (23.4%)NA
Disease duration since diagnosis (years, mean (SD))6.3 (7.1)6.5 (3.9)
Subcutaneous tophi (n (%))5 (10.6%)0
Urate-lowering therapy (n (%))47 (100%)0
C reactive protein level (mg/dL, mean (SD))0.6 (0.4)0.5 (0.7)
Serum urate, latest measurement (μmol/l, mean (SD))342.9 (94.9)NA
Latest measurement of serum urate >360 µmol/L(n (%))30 (37.0%)NA
Crystal-proven diagnosis30 (63.8%)9 (100%)
EULAR clinical presentation
 - Osteoarthritis with CPPD (n, (%))NA5 (55.6%)
 - Acute CPP crystal arthritis(n, (%))NA2 (22.2%)
 - Chronic inflammatory CPP crystal arthritis(n, (%))NA2 (22.2%)
CPPD disease aetiology
 - Idiopathic (n, %)NA7 (77.8%)
 - Associated with predisposing conditions (n, %)NA2 (22.2%)
US evidence of the OMERACT DC sign (no of joints)5713
 - DC sign with CPP deposits within the HC04 (30.8%)
 - DC sign without CPP deposits within the HC in the same joint57 (100%)9 (69.2%)
 - DC sign without any CPP deposits in the same joint55 (96.5%)3 (23.1%)
Dynamic behaviour of the OMERACT DC sign (no of joints)
 - Moving together with the HC57 (100%)3 (23.1%)
 - Moving in the opposite direction to the HC010 (76.9%)
Distribution of joints with US evidence of the OMERACT DC sign
 - Knee20 (35.1%)6 (46.2%)
 - Ankle14 (24.6%)1 (7.7%)
 - MTP1j17 (29.8%)NA
 - ElbowNA3 (23.1%)
 - Wrist1 (1.8%)0
 - MCP2j5 (8.8%)3 (23.1%)
  • CPPD, calcium pyrophosphate deposition; DC, double contour; HC, hyaline cartilage; MCP2j, metacarpophalangeal joint of the second digit; MTP1j, metatarsophalangeal joint of the first digit; NA, not assessed; OMERACT, Outcome Measure in Rheumatology; US, ultrasound.