Optimal management of gout in older patients.

Abstract:

:Gout in older patients tends to be sub-acute to chronic, often tophaceous, polyarticular, erosive, symmetrical, and causes persistent, recurrent and chronic arthritis. Clinically, it may closely mimic rheumatoid arthritis; thus, a correct diagnosis requires a high index of clinical suspicion and the identification of uric acid crystals. An optimal therapeutic strategy for most older patients with chronic tophaceous gout could involve the following: avoidance of alcohol and diuretic use if possible; avoidance of long term nonsteroidal anti-inflammatory drug (NSAID) therapy; use of short term corticosteroids (systemic or intra-articular) for acute exacerbations; prophylactic colchicine daily or every other day according to the degree of renal dysfunction present; and long term allopurinol therapy in dosages adjusted to the degree of hyperuricaemia and renal dysfunction.

journal_name

Drugs Aging

journal_title

Drugs & aging

authors

Gonzalez EB,Miller SB,Agudelo CA

doi

10.2165/00002512-199404020-00005

subject

Has Abstract

pub_date

1994-02-01 00:00:00

pages

128-34

issue

2

eissn

1170-229X

issn

1179-1969

journal_volume

4

pub_type

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