Volume 14, Issue 2 (Summer 2010)                   J Qazvin Univ Med Sci 2010, 14(2): 75-82 | Back to browse issues page

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Sagafi, Sahebari, Elahi. Evaluation of patients with chronic gouty arthritis. J Qazvin Univ Med Sci. 2010; 14 (2) :75-82
URL: http://journal.qums.ac.ir/article-1-964-en.html
1- , Email: sahebarim@mums.ac.ir
Abstract:   (8172 Views)
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.
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Type of Study: case report | Subject: Rheumatology

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