Misdiagnosis of Rheumatoid Arthritis in an Elderly Woman with Gout
| Autor: | Richard Petrucci, Kathryn Lea Sewell, Harold D. Keiser |
|---|---|
| Rok vydání: | 1991 |
| Předmět: |
musculoskeletal diseases
congenital hereditary and neonatal diseases and abnormalities medicine.medical_specialty Gout Diagnostico diferencial Renal function Diagnosis Differential Sex Factors Clinical Protocols Atp depletion Risk Factors Internal medicine medicine Humans Hyperuricemia Diagnostic Errors Diuretics skin and connective tissue diseases Aged Autoimmune disease Medical treatment business.industry nutritional and metabolic diseases medicine.disease Surgery Radiography Rheumatoid arthritis Female Kidney Diseases Geriatrics and Gerontology business |
| Zdroj: | Journal of the American Geriatrics Society. 39:403-406 |
| ISSN: | 0002-8614 |
| DOI: | 10.1111/j.1532-5415.1991.tb02909.x |
| Popis: | Polyarticular gout may be misdiagnosed in the elderly. This reflects the confusing clinical presentation of "diuretic gout" in the elderly, characterized by polyarticular onset, subacute symptoms, hand involvement, and early development of tophi. A misdiagnosis of rheumatoid arthritis can lead to poor treatment of gout, failure to recognize underlying renal insufficiency, and associated cardiac risks. Hyperuricemia may reflect systemic ATP depletion in acutely ill patients and thus represents a predictor for mortality. Medical treatment of polyarticular gout in elderly patients with compromised cardiac and renal function requires recognition of the clinical profile and consideration of the increased toxicity from standard therapies. |
| Databáze: | OpenAIRE |
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