Acute Arthritis in the Elderly: Differential Diagnosis and Treatment
Article Outline
Summary
Acute arthritis is a prevalent disease in outpatient clinics and emergency rooms. In the elderly, the symptoms/signs are different from those experienced by young patients. Therefore, the diagnosis and treatment of acute arthritis in the elderly are distinct. Here, we start by examining a case of acute arthritis and then review the literature to learn the principles of managing acute arthritis in the elderly.
Key Words: crystal-induced arthritis , gouty arthritis , pseudogout , septic arthritis , urate-lowering therapy
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References
- . Asymptomatic hyperuricemia. Risks and consequences in the Normative Aging Study . Am J Med . 1987;82:421–426
- . Community-based epidemiological study on hyperuricemia and gout in Kin-Hu, Kinmen . J Rheumatol . 2000;27:1045–1050
- . The interaction between uric acid level and other risk factors on the development of gout among asymptomatic hyperuricemic men in a prospective study . J Rheumatol . 2000;27:1501–1505
- . Gout and hyperuricemia . In: Kelley's Textbook of Rheumatology . 7th edition. Philadelphia: Elsevier Saunders; 2005;p. 1402–1429
- . Gout . JAMA . 2003;289:2857–2860
- . Preliminary criteria for the classification of the acute arthritis of primary gout . Arthritis Rheum . 1977;20:895–900
- . The pitfalls in the diagnosis and treatment of rheumatic diseases . J Intern Med Taiwan . 2004;15:147–160
- EULAR evidence based recommendations for gout. Part II: Management. Report of a task force of the EULAR Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT) . Ann Rheum Dis . 2006;65:1312–1324
- . Avoiding dialysis in tumour lysis syndrome: is urate oxidase effective?—a case report and review of literature . Ann Acad Med Singapore . 2007;36:679–683
- . Rasburicase treatment in severe tophaceous gout: a novel therapeutic option . Clin Rheumatol . 2006;25:749–752
- . The difference between rheumatoid arthritis and gout in epidemiology and health promotion strategies . J Intern Med Taiwan . 2005;16:71–78
PII: S1873-9598(08)70043-7
doi:10.1016/S1873-9598(08)70043-7
© 2008 Elsevier B.V. All rights reserved.
