{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T06:59:10Z","timestamp":1790405950282,"version":"4.1.0"},"reference-count":8,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Gen and Family Med"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>A 34\u2010year\u2010old man presented to our primary care clinic with persistent pain and swelling of the right first metatarsophalangeal joint lasting 3\u2009months. A previous clinic had suspected gout based on hyperuricemia, but urate\u2010lowering therapy was repeatedly withheld because of ongoing inflammation, resulting in prolonged symptoms managed only with nonsteroidal anti\u2010inflammatory drugs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>Ultrasound\u2010guided joint aspiration yielded a dry tap owing to highly viscous chalky material. Point\u2010of\u2010care ultrasound demonstrated diffuse hyperechoic intra\u2010articular deposits and a double contour sign without synovial hypervascularity on color Doppler.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case highlights the diagnostic utility of point\u2010of\u2010care ultrasound in prolonged monoarthritis when invasive aspiration is unsuccessful\/contraindicated.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jgf2.70155","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T08:47:42Z","timestamp":1786006062000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["When Joint Aspiration Fails: Point\u2010of\u2010Care Ultrasound for Diagnosing Chronic Gout in Prolonged Monoarthritis"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6455-2598","authenticated-orcid":false,"given":"Takayuki","family":"Yamada","sequence":"first","affiliation":[{"name":"Asunaro Clinic  Takasaki Gunma Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,6]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.39254"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard-2023-224771"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2017-212542"},{"issue":"4","key":"e_1_2_11_5_1","first-page":"1398","article-title":"Dynamic Assessment of the Double Contour Sign by Ultrasonography Helps to Distinguish Between Gout and Calcium Pyrophosphate Deposition Disease","volume":"62","author":"Naredo E.","year":"2023","journal-title":"Rheumatology"},{"issue":"7","key":"e_1_2_11_6_1","first-page":"15","article-title":"Diagnostic Algorithm in Gout Using Ultrasound and DECT: Including Tophus May Improve Ultrasound Performance","volume":"37","author":"Ramon A.","year":"2019","journal-title":"Clinical and Experimental Rheumatology"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keg297"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2006.07.019"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.24180"}],"container-title":["Journal of General and Family Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jgf2.70155","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jgf2.70155","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jgf2.70155","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T06:22:37Z","timestamp":1790403757000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jgf2.70155"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,6]]},"references-count":8,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1002\/jgf2.70155"],"URL":"https:\/\/doi.org\/10.1002\/jgf2.70155","archive":["Portico"],"relation":{},"ISSN":["2189-7948","2189-7948"],"issn-type":[{"value":"2189-7948","type":"print"},{"value":"2189-7948","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,6]]},"assertion":[{"value":"2026-06-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70155"}}