Atualização em reumatologia: epidemiologia

Cruz, Bóris Afonso

doi:10.1590/s0482-50042006000200010

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“…In a survey conducted in the United States between 1988 and 1994, it was estimated that around 2% of the men over the age of 30 years and of the women over the age of 50 years had a diagnosis of gout. Among Western men, it has been calculated that 1 to 2% have this disease (17) . In our control group, we observed that the prevalence of gout was 1.6%, while in the group of patients with calcifying tendinopathy, the prevalence was 6.3%, without statistical significance when compared (p > 0.005).…”

Section: Discussionmentioning

confidence: 99%

Calcifying Tendinopathy: A Local or a Systemic Condition?

Ejnisman

Andreoli

Monteiro

et al. 2012

Revista Brasileira de Ortopedia (English Edition)

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Objective: To evaluate the relationship between cases of calcifying tendinopathy of the shoulder and symptomatic metabolic diseases such as kidney stones, gallstones and gout. Methods: Calcifying tendinopathy of the shoulder was diagnosed in 63 patients between May 2007 and September 2011. All the patients were treated by the same orthopedic surgeon and were interviewed to gather the following data: age at diagnosis, sex, affected side, dominant side, body mass index (BMI), smoking status and previous histories of kidney stones, gallstones or gout. For statistical analysis, a control group of 63 patients with similar demographic characteristics was used. Results: Among the 63 patients with calcifying tendinopathy of the shoulder, 35 (56%) were male. The right side was affected in 38 patients (60%) and the average age was 48.2 years. Thirty-one patients (49%) had histories involving some of the metabolic diseases investigated: 20 patients (32%) reported kidney stones, six (9.5%) gallstones, four (6.3%) gout and one (2%) concurrent diagnoses of kidney stones and gout. In the control group, eleven patients (17%) had histories involving some of the metabolic diseases investigated: six patients (9.5%) reported kidney stones, four (6.3%) gallstones and one (1.6 %) gout. Conclusions: The high frequency of nephrolithiasis in patients with calcifying tendinopathy of the shoulder in our study suggests that there are common mechanisms in the pathophysiology of these disorders. Better understanding of these diseases may enable improvement of diagnostics and treatments.

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Section: Discussionmentioning

confidence: 99%