EXPORT CITATION

Section-C Rheumatological

BOOK TITLE: Emergency Medicine

Author
1. Mehta Arjun
ISBN
9788180615498
DOI
10.5005/jp/books/10253_27
Edition
1/e
Publishing Year
2005
Pages
10
Author Affiliations
1. Royal Victoria Hospital, Edinburgh, Royal Victoria Hospital, Edinburgh, UK
Chapter keywords
Acute arthritis, gout, pseudogout, septic arthritis, reactive arthritis, extra-articular manifestation, osteoarthritis

Abstract

This chapter reviews rheumatological emergencies. Painful limitation of movement (active or passive) of the joint suggests arthritis. Gout and pseudogout are self-limited diseases. Gout is usually precipitated by trauma (mechanical loosening), or allopurinol, hospitalization or surgery and less often due to alcohol consumption, dietry excess or use of diuretics. Pseudogout can present as acute synovitis or chronic arthritis or be incidental. Extra-articular manifestations are common in long-standing seropositive patients. These are subcutaneous nodules at the sites of pressure or friction. Flare up of osteoarthritis (OA) can present as painful bony swelling, restricted joint movement and crepitus. Initially there is enzymatic degradation of aggrecan and collagen in the cartilage by collagenases, aggrecanases and stromelysin 1. Treatment of gout and septic arthritis are also discussed briefly in this chapter.

Related Books

© 2019 Jaypee Brothers Medical Publishers (P) LTD.   |   All Rights Reserved