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Footnotes
Handling editor Josef S Smolen
Contributors TB was involved in the two patient care, conceived this report and wrote the manuscript draft. TMK performed the US study in HCMC. MS was involved in the first patient care and retrieved data from his file. NTV performed the DECT examination of the second patient. VB performed the DECT scan of the first patient. J-MC performed the US study of the first patients. All authors improved the manuscript and approved its final version.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.
Author note This letter provides the first evidence of urate crystal deposition in the renal medulla in severe gout patients by modern Imaging modalities and suggests that US should be used to look not only for urinary stones, but also for medullary crystal deposits