Clinical Case Database / Category: Patient Management
A case of polyarticular gout complicated by renal failure
Publication details
Dr Philip Helliwell, Dr Helen Wright, Dr Farrouq Mahmood
Foundation Years Journal, volume 10, issue 9, p.13 (123Doc Education, London, October 2016)
Abstract
Crystal arthropathy (Gout) is an inflammatory arthropathy caused by uric acid deposition in joints. It can cause significant pain and disability. Although relatively common, treatment can be difficult due to co-morbidities and potential side-effects of medications. We present a case of polyarticular gout complicated by acute renal failure secondary to medication. The case is discussed along with investigations and management.
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Authors
Dr Philip Helliwell (Corresponding author)
Rheumatology Consultant, St Lukes Hospital,
Little Horton Lane, Bradford, West Yorkshire BD5 0NA
Philip.helliwell@bthft.nhs.uk
Dr Helen Wright
Rheumatology SHO GPST2, St Lukes Hospital,
Little Horton Lane, Bradford, West Yorkshire BD5 0NA
h.wright@doctors.org.uk
Dr Farrouq Mahmood
Rheumatology SPR ST3, St Lukes Hospital,
Little Horton Lane, Bradford, West Yorkshire BD5 0NA
farrouqmahmood@doctors.org.uk
References
1. Bădulescu M, Macovei L, Rezuş E. Acute gout attack with normal serum uric acid levels. Rev Med Chir Soc Med Nat Iasi. 2014 Oct-Dec;118(4):942-5.
2. Khanna PP, Gladue HS, Singh MK, Fitzgerald JD, Bae S, Prakash S, Kaldas M, Gogia M, Berrocal V, Townsend W, Terkeltaub R, Khanna D. Treatment of acute gout: a systematic review. Seminars in Arthritis and Rheumatism 2014; 44(1): 31-38.
3. Tayar JH, Lopez‐Olivo MA, Suarez‐Almazor ME. Febuxostat for treating chronic gout. Cochrane Database of Systematic Reviews 2012, Issue 11.
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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