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Gouty arthritis. A primer on late-onset gout.
Geriatrics 2005; 60(7):24-31G

Abstract

Gouty arthritis, a common source of pain and disability, is the most common form of inflammatory arthritis affecting older people. The authors review the epidemiology and pathogenesis of hyperuricemia and gout, as well as the clinical forms of gouty arthritis. Gout is part of a clinical spectrum of conditions (obesity, diabetes mellitus, hyperlipidemia, coronary artery disease) and need for better patient education on management of these associated conditions is emphasized. The general algorithm of gout management is presented. Clinical particularities of gout presentation in older patients (increased incidence in women, polyarticular onset with hand involvement, earlier development of tophi, association with use of diuretics) are reviewed. Barriers against an optimal control of gout include lack of patient education, presence of comorbid conditions, particularly renal impairment, use of multiple drugs such as diuretics, and cognitive decline. Gout management in older adults remains unsatisfactory.

Authors+Show Affiliations

Internal Medicine Northwest, Tacoma, Washington, USA.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

16026179

Citation

Ene-Stroescu, Daniel, and Martin J. Gorbien. "Gouty Arthritis. a Primer On Late-onset Gout." Geriatrics, vol. 60, no. 7, 2005, pp. 24-31.
Ene-Stroescu D, Gorbien MJ. Gouty arthritis. A primer on late-onset gout. Geriatrics. 2005;60(7):24-31.
Ene-Stroescu, D., & Gorbien, M. J. (2005). Gouty arthritis. A primer on late-onset gout. Geriatrics, 60(7), pp. 24-31.
Ene-Stroescu D, Gorbien MJ. Gouty Arthritis. a Primer On Late-onset Gout. Geriatrics. 2005;60(7):24-31. PubMed PMID: 16026179.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Gouty arthritis. A primer on late-onset gout. AU - Ene-Stroescu,Daniel, AU - Gorbien,Martin J, PY - 2005/7/20/pubmed PY - 2005/8/17/medline PY - 2005/7/20/entrez SP - 24 EP - 31 JF - Geriatrics JO - Geriatrics VL - 60 IS - 7 N2 - Gouty arthritis, a common source of pain and disability, is the most common form of inflammatory arthritis affecting older people. The authors review the epidemiology and pathogenesis of hyperuricemia and gout, as well as the clinical forms of gouty arthritis. Gout is part of a clinical spectrum of conditions (obesity, diabetes mellitus, hyperlipidemia, coronary artery disease) and need for better patient education on management of these associated conditions is emphasized. The general algorithm of gout management is presented. Clinical particularities of gout presentation in older patients (increased incidence in women, polyarticular onset with hand involvement, earlier development of tophi, association with use of diuretics) are reviewed. Barriers against an optimal control of gout include lack of patient education, presence of comorbid conditions, particularly renal impairment, use of multiple drugs such as diuretics, and cognitive decline. Gout management in older adults remains unsatisfactory. SN - 0016-867X UR - https://www.unboundmedicine.com/medline/citation/16026179/full_citation/Gouty_arthritis__A_primer_on_late_onset_gout_ L2 - http://www.diseaseinfosearch.org/result/592 DB - PRIME DP - Unbound Medicine ER -