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Báo cáo y học: "An unusual case of gout in the wrist: the importance of monitoring medication dosage and interaction. A case report"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: An unusual case of gout in the wrist: the importance of monitoring medication dosage and interaction. A case report. | Chiropractic Osteopathy BioMed Central Case report Open Access An unusual case of gout in the wrist the importance of monitoring medication dosage and interaction. A case report Craig L Jacobs t and Paula J Sternt Address Graduate Education and Research Programs Canadian Memorial Chiropractic College 6100 Leslie St. Toronto ON M2H 3J1 Canada Email Craig L Jacobs - cjacobs@cmcc.ca Paula JStern - pstern@cmcc.ca Corresponding author tEqual contributors Published 9 October 2007 Received 8 May 2007 o ir i Accepted 9 October 2007 Chiropractic Osteopathy 2007 15 16 doi 10.1186 1746-1 340-15-16 r This article is available from http www.chiroandosteo.com content 15 1 16 2007 Jacobs and Stern licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Gouty arthritis of the wrist is uncommon although gout itself is the most common inflammatory arthritis in older patients. Some known risk factors for the development of gout include trauma alcohol use obesity hyperuricaemia hypertension and diabetes mellitus. As well certain medications have been shown to promote the development of gout. These include thiazide diuretics low dose salicylates and cyclosporine. We present a case of gouty wrist pain possibly precipitated by a medication dosage increase as well as medication interactions. Case presentation A 77 year old male presented with right wrist pain. Redness and swelling was present at the dorsal aspect of his wrist and range of motion was full with pain at end range upon examination. One week prior his anti-hypertensive medication dosage had been increased. The patient s situation continued to worsen. Radiographic examination revealed changes consistent with gouty arthritis. Conclusion It is important for clinicians treating