Search results for "Chronic gout"

showing 3 items of 3 documents

Chronic gout in the elderly

2013

Gout is the most common cause of inflammatory arthritis in men over 40 years old; it is a debilitating disease and, if untreated, can result in a chronic progressive disease, including tophaceous gout. In the elderly it represents a special issue, with notable clinical and therapeutic differences from the classical form with a systemic involvement. The burden of the disease increases particularly in the very old people, in whom arthritis, impaired gait and eyesight problems may enhance the related disability. Chronic gout moreover could aggravate heart and kidney disease and increase overall mortality and organ-related damage. Early diagnosis and appropriate treatment are important goals fo…

Agingmedicine.medical_specialtyGoutInflammatory arthritisArthritisDiseaseHyperuricemiaGout SuppressantsChronic gout Hyperuricemia Tophi Older ageRisk FactorsEpidemiologymedicineHumansHyperuricemiaIntensive care medicineLife StyleAgedbusiness.industrymedicine.diseaseGoutChronic DiseasePhysical therapyGeriatrics and GerontologybusinessProgressive diseaseKidney disease
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A case of naturally evolving gout in an elderly man

2012

Gout is a common disorder in adults that can lead to severe organ decline, disability and impaired quality of life due to the formation of periarticular tophi. We report a case of massive tophaceous gout in a 78-year-old man with a 16-year-long history of untreated disease. The patient gradually became disabled, his renal function deteriorated, and he finally died of sepsis. Our case demonstrates that chronic gout not only affects the joints, but is also associated with organ function decline and can, even nowadays, lead to death. © 2011 Elsevier Ireland Ltd.

Malemusculoskeletal diseasesAgingPediatricsmedicine.medical_specialtyHealth (social science)GoutAllopurinolOrgan functionDiseaseTophaceous gout in elderly Renal failure Sepsis HyperuricemiaMethylprednisoloneSeverity of Illness IndexGout SuppressantsTophaceous goutSepsisFatal OutcomeQuality of lifeRenal DialysisChronic goutSepsismedicineHumansHyperuricemiaMobility LimitationAgedbusiness.industryAcute Kidney Injurymedicine.diseaseArthralgiaAnti-Bacterial AgentsGoutSurgeryChronic DiseaseQuality of LifeDrug Therapy CombinationGeriatrics and GerontologyColchicineRespiratory InsufficiencybusinessGerontology
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Tophaceous gout in the elderly: A clinical case review

2012

Gout is the most common cause of arthritis in the elderly. Its incidence among older people has risen worldwide due to an increase in risk factors such as renal diseases, metabolic syndrome, and a diet rich in purines. In older age, tophaceous gout may affect different joints from its classical presentation, due to other concomitant musculoskeletal diseases, but specific data on its epidemiology and clinical aspects in the elderly are limited to a few case reports. The present review focuses on the distinctive aspects of tophaceous gout in the elderly, revisiting all our clinical cases seen from 1990 to December 2011. Our findings indicate that: tophaceous gout can affect several joints in …

Malemusculoskeletal diseasesmedicine.medical_specialtyPediatricsGoutArthritisTophaceous goutRheumatologyRisk FactorsInternal medicineEpidemiologymedicineHumansAgedAged 80 and overSex CharacteristicsArthritis Goutybusiness.industryChronic gout Elderly Gender difference TophiIncidence (epidemiology)General Medicinemedicine.diseasehumanitiesRheumatologyGoutPhysical therapyFemaleMetabolic syndromebusinessSex characteristics
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