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Arthritis
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ArthritisGeneral InformationNEWS:Vitamin D Levels Tied to Polyarthritis Activity ARTICLES:JAMA Patient Page: Septic Arthritis JOURNAL ARTICLES:Ankle osteoarthritis is associated with knee osteoarthritis. Conclusions based on mechanical axis radiographs. (Arch Orthop Trauma Surg. 2007) "CONCLUSION: Ankle OA and tilt were not uncommon in our patients with knee OA. The assumption that associations may exist between knee and ankle OA and joint malalignment was confirmed." Arthritis Burden and Impact are Greater among U.S. Women than Men: Intervention Opportunities. (J Womens Health (Larchmt). 2007) Characteristics and survival of 26 patients with paraneoplastic arthritis. (Ann Rheum Dis. 2007) "CONCLUSIONS: Underlying neoplasia should be considered in male patients with new onset polyarthritis, smokers, and particularly in patients chronically ill. Then, additional investigations should be performed to diagnose a cancer at an early stage." Consensus on a core set of domains for psoriatic arthritis. (J Rheumatol. 2007) Does this adult patient have septic arthritis? (JAMA. 2007) "CONTEXT: In patients who present with an acutely painful and swollen joint, prompt identification and treatment of septic arthritis can substantially reduce morbidity and mortality." Gout: an update. (Am Fam Physician. 2007) "Arthritis caused by gout (i.e., gouty arthritis) accounts for millions of outpatient visits annually, and the prevalence is increasing. Gout is caused by monosodium urate crystal deposition in tissues leading to arthritis, soft tissue masses (i.e., tophi), nephrolithiasis, and urate nephropathy. The biologic precursor to gout is elevated serum uric acid levels (i.e., hyperuricemia). Asymptomatic hyperuricemia is common and usually does not progress to clinical gout. Acute gout most often presents as attacks of pain, erythema, and swelling of one or a few joints in the lower extremities. The diagnosis is confirmed if monosodium urate crystals are present in synovial fluid." Erosive Arthritis (Arthritis Res Ther. 2007) Juvenile arthritis and development of symptoms of temporomandibular disorders: a 15-year prospective cohort study. ( Orofac Pain. 2007) Outcome measures in psoriatic arthritis. (J Rheumatol. 2007) Psoriatic arthritis as a distinct disease entity. (J Postgrad Med. 2007) Psoriatic arthritis: clinical spectrum and diagnostic procedures. (Clin Dermatol. 2007) Septic arthritis in patients with pre-existing inflammatory arthritis. (CMAJ. 2007) " Diagnosis and treatment • Consider septic arthritis in any patient with inflammatory arthritis who presents with a joint flare, particularly if one joint has flared more often than others • Fluid should be aspirated if the flare is more severe than usual, if there is a substantial loss of joint function, if the joint is red or if the patient has systemic symptoms • Aspiration is the most important part of both diagnosis and management • Initiate empiric antibiotic therapy after aspiration, and narrow antimicrobial coverage once microbiology results are known" |
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