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Paper Information

Journal:   THE JOURNAL OF QAZVIN UNIVERSITY OF MEDICAL SCIENCES   SUMMER 2010 , Volume 14 , Number 2 (55); Page(s) 75 To 82.
 
Paper: 

EVALUATION OF PATIENTS WITH CHRONIC GOUTY ARTHRITIS: CASE REPORT

 
 
Author(s):  SAGHAFI M., SAHEBARI M.*, ELAHI H.
 
* DEPARTMENT OF INTERNAL MEDICINE, RHEUMATIC DISEASES RESEARCH CENTER, MASHHAD UNIVERSITY OF MEDICAL SCIENCES, MASHHAD, IRAN
 
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 during 1998-2006. 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.

 
Keyword(s): TOPHACEOUS GOUT, URIC ACID CRYSTAL, RHEUMATOID ARTHRITIS
 
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