Clinical Manifestations and Diagnosis of Gout

被引:43
作者
Perez-Ruiz, Fernando [1 ]
Castillo, Edwin [2 ]
Chinchilla, Sandra P. [2 ]
Herrero-Beites, Ana M. [3 ]
机构
[1] Hosp Univ Cruces, BioCruces Hlth Inst, Div Rheumatol, Baracaldo 48903, Spain
[2] Hosp Univ Cruces, Serv Reumatol, Baracaldo 48903, Spain
[3] Hosp Gorliz, Div Phys Med, Gorliz 48630, Spain
关键词
Gout; Diagnosis; Clinical manifestations; Tophi; Damage; SYNOVIAL-FLUID; OUTCOME MEASURE; URIC-ACID; PART I; ARTHRITIS; TOPHI; HYPERURICEMIA; JOINT; INVOLVEMENT; PREVALENCE;
D O I
10.1016/j.rdc.2014.01.003
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Gout has been academically considered to be a step-up disease consisting of different stages: acute gout, intercritical gout, and chronic gout. This simple approach may lead to misinterpretation and misdiagnosis. In clinical practice, we should consider gout as a single disease with either or both acute (most commonly, episodes of acute inflammation) and persistent clinical manifestations, but not restricted to chronic synovitis. In this article, an innovative, practical, and rational approach to the clinical manifestations and diagnosis of gout is presented, which may be supportive for clinicians involved in everyday care and management of patients with gout.
引用
收藏
页码:193 / +
页数:15
相关论文
共 60 条
[1]   A RADIOLOGIC RE-EVALUATION OF GOUT - A STUDY OF 2,000 PATIENTS [J].
BLOCH, C ;
HERMANN, G ;
YU, TF .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1980, 134 (04) :781-787
[2]   HYPERURICEMIA AND GOUT AMONG HEART-TRANSPLANT RECIPIENTS RECEIVING CYCLOSPORINE [J].
BURACK, DA ;
GRIFFITH, BP ;
THOMPSON, ME ;
KAHL, LE .
AMERICAN JOURNAL OF MEDICINE, 1992, 92 (02) :141-146
[3]  
Campion E W, 1987, Am J Med, V82, P421, DOI 10.1016/0002-9343(87)90441-4
[4]   An analysis of MRI and ultrasound imaging in patients with gout who have normal plain radiographs [J].
Carter, John D. ;
Kedar, Rajendra P. ;
Anderson, Scott R. ;
Osorio, Angie H. ;
Albritton, Nancy L. ;
Gnanashanmugam, Shanmugapriya ;
Valeriano, Joanne ;
Vasey, Frank B. ;
Ricca, Louis R. .
RHEUMATOLOGY, 2009, 48 (11) :1442-1446
[5]  
Chen CK, 1999, SKELETAL RADIOL, V28, P282
[6]  
Clive DM, 2000, J AM SOC NEPHROL, V11, P974, DOI 10.1681/ASN.V115974
[7]  
Cohen H, 1948, TXB RHEUMATIC DIS, P249
[8]   Tophaceous joint disease strongly predicts hand function in patients with gout [J].
Dalbeth, N. ;
Collis, J. ;
Gregory, K. ;
Clark, B. ;
Robinson, E. ;
McQueen, F. M. .
RHEUMATOLOGY, 2007, 46 (12) :1804-1807
[9]   Validation of a radiographic damage index in chronic gout [J].
Dalbeth, Nicola ;
Clark, Barnaby ;
McQueen, Fiona ;
Doyle, Anthony ;
Taylor, William .
ARTHRITIS & RHEUMATISM-ARTHRITIS CARE & RESEARCH, 2007, 57 (06) :1067-1073
[10]   Tendon involvement in the feet of patients with gout: a dual-energy CT study [J].
Dalbeth, Nicola ;
Kalluru, Ramanamma ;
Aati, Opetaia ;
Horne, Anne ;
Doyle, Anthony J. ;
McQueen, Fiona M. .
ANNALS OF THE RHEUMATIC DISEASES, 2013, 72 (09) :1545-1548