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Crystal arthritis. Gout and pseudogout in the geriatric patient.
Geriatrics. 2004 Sep; 59(9):25-30; quiz 31.G

Abstract

Gout and pseudogout are inflammatory arthritides due to monosodium urate and calcium pyrophosphate dihydrate crystal formation. Both are prevalent among geriatric patients, and can present as acute mono- or oligoarticular disease, or as a chronic polyarthropathy resembling osteoarthritis or rheumatoid arthritis. Gout in the geriatric patient is a disease affecting women, commonly associated with diuretic usage, often involves the fingers, may be complicated by the development of masses of uric acid crystals (tophi) in soft tissues, and is frequently polyarticular. Pseudogout in the geriatric patient has a variety of clinical presentations, may be acute or chronic, and should be considered in evaluating any patient with osteoarthritis occurring in an atypical distribution. Treatment includes the use of nonsteroidal anti-inflammatory drugs, colchicine, or corticosteroids. Gout may be impacted by dietary factors, weight reduction, and avoidance of certain forms of alcohol; uric acid-lowering agents are effective for refractory or chronic tophaceous disease.

Authors+Show Affiliations

Mount Sinai Medical Center, New York, NY, USA.No affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

15461235

Citation

Cassetta, Michael, and Peter D. Gorevic. "Crystal Arthritis. Gout and Pseudogout in the Geriatric Patient." Geriatrics, vol. 59, no. 9, 2004, pp. 25-30; quiz 31.
Cassetta M, Gorevic PD. Crystal arthritis. Gout and pseudogout in the geriatric patient. Geriatrics. 2004;59(9):25-30; quiz 31.
Cassetta, M., & Gorevic, P. D. (2004). Crystal arthritis. Gout and pseudogout in the geriatric patient. Geriatrics, 59(9), 25-30; quiz 31.
Cassetta M, Gorevic PD. Crystal Arthritis. Gout and Pseudogout in the Geriatric Patient. Geriatrics. 2004;59(9):25-30; quiz 31. PubMed PMID: 15461235.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Crystal arthritis. Gout and pseudogout in the geriatric patient. AU - Cassetta,Michael, AU - Gorevic,Peter D, PY - 2004/10/6/pubmed PY - 2004/10/16/medline PY - 2004/10/6/entrez SP - 25-30; quiz 31 JF - Geriatrics JO - Geriatrics VL - 59 IS - 9 N2 - Gout and pseudogout are inflammatory arthritides due to monosodium urate and calcium pyrophosphate dihydrate crystal formation. Both are prevalent among geriatric patients, and can present as acute mono- or oligoarticular disease, or as a chronic polyarthropathy resembling osteoarthritis or rheumatoid arthritis. Gout in the geriatric patient is a disease affecting women, commonly associated with diuretic usage, often involves the fingers, may be complicated by the development of masses of uric acid crystals (tophi) in soft tissues, and is frequently polyarticular. Pseudogout in the geriatric patient has a variety of clinical presentations, may be acute or chronic, and should be considered in evaluating any patient with osteoarthritis occurring in an atypical distribution. Treatment includes the use of nonsteroidal anti-inflammatory drugs, colchicine, or corticosteroids. Gout may be impacted by dietary factors, weight reduction, and avoidance of certain forms of alcohol; uric acid-lowering agents are effective for refractory or chronic tophaceous disease. SN - 0016-867X UR - https://www.unboundmedicine.com/medline/citation/15461235/Crystal_arthritis__Gout_and_pseudogout_in_the_geriatric_patient_ DB - PRIME DP - Unbound Medicine ER -