Evaluation of patients with chronic gouty arthritis
| Author | M Sagafi | en |
| Author | M Sahebari | en |
| Author | H Elahi | en |
| Issued Date | 2010-09-30 | en |
| Abstract | Background: Chronic polyarticular presentation is not a common manifestation of gout and it may be confused especially with rheumatoid arthritis (RA). Objective: To evaluate the characteristics of patients with chronic polyarticular gout, important clues for differentiation from RA and its correlation with cardiovascular disease. Methods: This was a descriptive study on patients with chronic polyarticular gout who, for the first time, were admitted to Ghaem Hospital, Mashhad University of Medical Sciences during1998-2006. Diagnosis was based on international criteria of gout. Patients with arthritis in less than four joints were excluded from the study. Findings: Eighteen patients were enrolled. In 8 patients (44.4%), the joint involvements were similar to RA and in two patients crystals of calcium pyrophosphate in synovial fluid (12.5%) also found. One patient had a pseudotumor on the tophus, and two with Achill’s tendinitis. Among patients, 61% suffered from cardiovascular disease. In these patients 39% had chronic renal failure, 22.2% had diabetes, and 50% had hypertriglyceridemia. Conclusion: It seems that chronic polyarticular gout is a kind of polyarthropathy that requires more attention to diagnosis. | en |
| DOI | https://doi.org/ | en |
| Keyword | Tophaceous Gout | en |
| Keyword | Uric Acid Crystal | en |
| Keyword | Rheumatoid Arthritis | en |
| Publisher | Brieflands | en |
| Title | Evaluation of patients with chronic gouty arthritis | en |
| Type | Case Report | en |
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