Crystal-Associated Arthritis

Agudelo, Carlos A.; Wise, Christopher M.

doi:10.1016/s0749-0690(18)30103-4

Cited by 27 publications

(12 citation statements)

References 41 publications

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“…10 mg/dL. 11 A high rate of treatment nonadherence is a contributing factor to the decrease in quality of life for patients with gout. In a retrospective 2004 study by Riedel et al, only 18% of 9482 patients with gout enrolled in managed care were treatment adherent throughout the 24-month study period.…”

Section: Epidemiology Of Goutmentioning

confidence: 99%

Physician Adherence to ACR Gout Treatment Guidelines: Perception Versus Practice

Oderda

Shiozawa

Walsh³

et al. 2014

Postgraduate Medicine

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Section: Epidemiology Of Goutmentioning

confidence: 99%

Physician Adherence to ACR Gout Treatment Guidelines: Perception Versus Practice

Oderda

Shiozawa

Walsh³

et al. 2014

Postgraduate Medicine

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“…Individuals with a serum urate concentration <7 mg/dl had 0.1% annual incidence of gout, as opposed to 4.9% in those with ≥9 mg/dl [31]. Patients with a serum uric acid level <7 mg/dl had 0.6% prevalence of gout for a period of 5 years, and for those with >10 mg/dl, the prevalence was 30% [32]. Common factors that precipitate the development of acute gout attack include stress, trauma, excessive alcohol consumption, excessive intake of dietary purines, infection, surgery, drugs or consumption of uric-acid-lowering agents [18].…”

Section: Discussionmentioning

confidence: 99%

Gouty Arthritis in Acute Cerebrovascular Disease

Lin¹,

Hsu²,

Huang³

et al. 2009

Cerebrovasc Dis

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Background: Gouty arthritis is a metabolic disorder associated with several medical diseases and is considered as a high-risk factor of acute myocardial infarction and cardiovascular mortality. Since no study has assessed the frequency of gout attack in acute-stroke patients, a retrospective analysis of gouty arthritis in stroke patients was performed to identify the frequency and characteristics of gouty arthritis in hospitalized stroke patients. Methods: We reviewed the data of 920 patients admitted to the neurology ward of the Chiayi Chang Gung Memorial Hospital between 2002 and 2005 with ischemic stroke. The frequency of gouty arthritis in these patients was evaluated. The severity of the risk factors was compared between the patients with gout and those without. Results: The frequency of gouty arthritis in the stroke patients was 6.5%. Most patients had an attack of gout within 9 days of admission. History of gout, uric acid level and hypercholesterolemia were independent risk factors of gout attack during acute stroke. The duration of acute-ward stay was longer in patients with gout than in those without (17.17 vs. 14.01 days, p = 0.016). Conclusions: Our retrospective study demonstrated that gout attack is not uncommon in acute-stroke patients and may result in longer duration of acute-ward stay.

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“…Not all gout presents in this fashion, however. Atypical presentations such as gout mimicking rheumatoid arthritis or osteoarthritis in the elderly are well documented (1). Gout presenting with a bullous lesion containing monosodium urate crystals is unusual.…”

Section: Discussionmentioning

confidence: 99%

Blister as the Initial Presentation of Gout

Rott

Holland²,

Agudelo³

2003

JCR: Journal of Clinical Rheumatology

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We present a case of gout that presented initially as a bullous lesion. The patient had no history of gout, and the lesion was diagnosed initially as a simple pressure sore. Examination revealed a large blister over the right medial first metatarsophalangeal joint. Aspiration of the blister yielded cloudy fluid, with many monosodium urate crystals present on microscopic examination. There is scant literature on bullous lesions in gout. Such lesions can occur in patients known to have gout or can lead to the diagnosis of gout in previously undiagnosed patients. Gouty blisters likely form at sites of trauma, as has been proposed for gouty tophi. This case also emphasizes the importance of careful clinical and microscopic examination of aspirated fluid for crystals in the diagnosis of gout.

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Crystal-Associated Arthritis

Cited by 27 publications

References 41 publications

Physician Adherence to ACR Gout Treatment Guidelines: Perception Versus Practice

Physician Adherence to ACR Gout Treatment Guidelines: Perception Versus Practice

Gouty Arthritis in Acute Cerebrovascular Disease

Blister as the Initial Presentation of Gout

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