Jointed

Released on 29/04/2018

Key Learning Points

  • Athrocentesis
  • Gout
  • Management of flares during urate lowering therapy
  • Negative birefringence
  • Serum urate levels in acute gout
  • Treatment of an acute gouty attack
  • Urate lowering drugs
  • X-rays in acute gout

References

1. JORDAN KM, CAMERON JS, SNAITH M, ZHANG W, DOHERTY M, SECKL J, HINGORANI A, JAQUES R, NUKI G, BRITISH SOCIETY FOR RHEUMATOLOGY AND BRITISH HEALTH PROFESSIONALS IN RHEUMATOLOGY STANDARDS, GUIDELINES AND AUDIT WORKING GROUP (SGAWG). British Society for Rheumatology and British Health Professionals in Rheumatology guideline for the management of gout. Rheumatology (Oxford) [online] 2007 Aug, 46(8):1372-4 [viewed 11 October 2016] Available from: http://www.ncbi.nlm.nih.gov/pubmed/17522099
2. SHIRTLIFF ME, MADER JT. Acute Septic Arthritis Clin Microbiol Rev [online] 2002 Oct, 15(4):527-544 [viewed 12 October 2016] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC126863
3. VISSER S, TUPPER J. Septic until proven otherwise: Approach to and treatment of the septic joint in adult patients Can Fam Physician [online] 2009 Apr, 55(4):374-375 [viewed 12 October 2016] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2669005
4. DHOBLE A, BALAKRISHNAN V, SMITH R. Chronic tophaceous gout presenting as acute arthritis during an acute illness: a case report Cases J [online] 2008 Oct 15:238 [viewed 12 October 2016] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2572609
5. THISSEN CA, FRANK J, LUCKER GP. Tophi as first clinical sign of gout. Int J Dermatol [online] 2008 Nov:49-51 [viewed 12 October 2016] Available from: http://www.ncbi.nlm.nih.gov/pubmed/18986488
6. TAUSCHE AK, JANSEN TL, SCHRöDER HE, BORNSTEIN SR, ARINGER M, MüLLER-LADNER U. Gout—Current Diagnosis and Treatment Dtsch Arztebl Int [online] 2009 Aug 24, 106(34-35):549-555 [viewed 12 October 2016] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2754667
7. BERNAL JA, QUILIS N, ANDRéS M, SIVERA F, PASCUAL E. Gout: optimizing treatment to achieve a disease cure Ther Adv Chronic Dis [online] 2016 Jan 12, 7(2):135-144 [viewed 12 October 2016] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4772341
8. BURNS CM, WORTMANN RL. Latest evidence on gout management: what the clinician needs to know Ther Adv Chronic Dis [online] 2012 Nov, 3(6):271-286 [viewed 12 October 2016] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3539261
9. AVENA-WOODS C, HILAS O. Febuxostat (Uloric), A New Treatment Option for Gout P T [online] 2010 Feb, 35(2):82-85 [viewed 31 October 2016] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2827920
10. UNDERWOOD M. Diagnosis and management of gout BMJ [online] 2006 Jun 3, 332(7553):1315-1319 [viewed 08 March 2018] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1473078
11. KHANNA D, KHANNA PP, FITZGERALD JD, SINGH MK, BAE S, NEOGI T, PILLINGER MH, MERILL J, LEE S, PRAKASH S, KALDAS M, GOGIA M, PEREZ-RUIZ F, TAYLOR W, LIOTé F, CHOI H, SINGH JA, DALBETH N, KAPLAN S, NIYYAR V, JONES D, YAROWS SA, ROESSLER B, KERR G, KING C, LEVY G, FURST DE, EDWARDS NL, MANDELL B, SCHUMACHER HR, ROBBINS M, WENGER N, TERKELTAUB R. 2012 American College of Rheumatology Guidelines for Management of Gout Part II: Therapy and Anti-inflammatory Prophylaxis of Acute Gouty Arthritis Arthritis Care Res (Hoboken) [online] 2012 Oct, 64(10):1447-1461 [viewed 08 March 2018] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3662546
12. RAGAB G, ELSHAHALY M, BARDIN T. Gout: An old disease in new perspective - A review J Adv Res [online] 2017 May 10, 8(5):495-511 [viewed 09 March 2018] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5512152