#rheumatology — Public Fediverse posts

What type of arthritis is commonly associated with foot joint pain?
A. Rheumatoid arthritis
B. Conjunctivitis
C. Gastritis
D. Psoriasis
#arthritis #jointpain #rheumatology #rheumatoidarthritis ... Continue to: https://www.facebook.com/1130092409221646/posts/1316437650587120

What type of arthritis is commonly associated with foot joint pain?
A. Rheumatoid arthritis
B. Conjunctivitis
C. Gastritis
D. Psoriasis
#arthritis #jointpain #rheumatology #rheumatoidarthritis ... Continue to: https://www.facebook.com/1130092409221646/posts/1316437650587120

What type of arthritis is commonly associated with foot joint pain?
A. Rheumatoid arthritis
B. Conjunctivitis
C. Gastritis
D. Psoriasis
#arthritis #jointpain #rheumatology #rheumatoidarthritis ... Continue to: https://www.facebook.com/1130092409221646/posts/1316437650587120

https://www.europesays.com/ie/441544/ Key gene variants tied to developmental dysplasia of the hip and osteoarthritis #Bone #Calcium #Chromatin #Collagen #DNA #Dysplasia #education #Éire #Genes #Genetic #Health #HipDysplasia #hospital #IE #Ireland #Orthopaedic #Osteoarthritis #posture #Protein #Research #rheumatology #website

A daily dietary supplement of inulin, a natural prebiotic fiber, significantly reduces joint pain, lowers pain sensitivity, and improves grip strength in patients diagnosed with knee #osteoarthritis
#Rheumatology #Gastroenterology #NutritionalScience #sflorg
https://www.sflorg.com/2026/03/nut03122601.html

🦴 Which type of doctor usually treats rheumatism? #jointpain #rheumatism #jointhealth #rheumatology ... Continue to: https://www.youtube.com/watch?v=fDUK6oc5ZEo

🦴 Which type of doctor usually treats rheumatism? #jointpain #rheumatism #jointhealth #rheumatology ... Continue to: https://www.youtube.com/watch?v=fDUK6oc5ZEo

🦴 Which type of doctor usually treats rheumatism? #jointpain #rheumatism #jointhealth #rheumatology ... Continue to: https://www.youtube.com/watch?v=fDUK6oc5ZEo

Rheumatoid arthritis has no cure – but researchers are homing in on preventing it https://theconversation.com/rheumatoid-arthritis-has-no-cure-but-researchers-are-homing-in-on-preventing-it-268472 #medicine #health #rheumatology #science #STEM

Risk of gastrointestinal cancers in patients with primary Sjögren’s syndrome in Korea: a nationwide retrospective cohort study | Arthritis Research & Therapy

Brito-Zerón P, Baldini C, Bootsma H, Bowman SJ, Jonsson R, Mariette X, Sivils K, Theander E, Tzioufas A,…
#NewsBeep #News #Health #AU #Australia #Cohortstudies #Gastrointestinalneoplasms #neoplasms #Orthopedics #Proportionalhazardsmodels #rheumatology #Sjögren’ssyndrome
https://www.newsbeep.com/au/307189/

Compression garments in hypermobile Ehlers-Danlos syndrome and hypermobility spectrum disorders: a retrospective cohort study | BMC Musculoskeletal Disorders

This retrospective study evaluated the ef…
#NewsBeep #News #Health #CA #Canada #Clothing #Complementarytherapies #Compressiontherapy #ehlers–danlossyndrome #Epidemiology #internalmedicine #Jointinstability #Orthopedics #painmanagement #Proprioceptiondisorders #Rehabilitation #rheumatology #sportsmedicine
https://www.newsbeep.com/ca/303634/

@Gynux
Thanks. I hope I get my act together. 😣 So much change in how I feel happened in just a few days. And lingered. I'm starting to get the doom & gloom feels.

I did go to a doctor of #InternalMedicine + #Rheumatology for my OA 🖐️ and some general checkup. 🩺 Good news is that my prescription is all just nutritional supplements + minor dietary tweaking. No drugs needed. Well... No cure anyway. She had no answer for the weird swelling (thickening?) in the center of my palm. 🤷‍♀️

@Gynux
Thanks. I hope I get my act together. 😣 So much change in how I feel happened in just a few days. And lingered. I'm starting to get the doom & gloom feels.

I did go to a doctor of #InternalMedicine + #Rheumatology for my OA 🖐️ and some general checkup. 🩺 Good news is that my prescription is all just nutritional supplements + minor dietary tweaking. No drugs needed. Well... No cure anyway. She had no answer for the weird swelling (thickening?) in the center of my palm. 🤷‍♀️

2025_8_14 I feel better out of the house, which is incongruous with ME/CFS Long Covid.

https://www.illmarks.com/2025_8_14-i-feel-better-out-of-the-house-which-is-incongruous-with-me-cfs-long-covid/

#art #autoimmune #bodyHorror #bodyMapping #cfs #chronicIllness #longCovid #longcovid #mastCell #mastCellActivationSyndrome #mastCellDisease #mcas #me #meCfs #mecfs #medArt #medart #medicalArt #medicine #migraine #MillionsMissing #neurology #pwLC #pwme #rheumatology

2025-8-17 The water isn’t the whole picture… but what is?

https://www.illmarks.com/2025-8-17-the-water-isnt-the-whole-picture-but-what-is/

#allergen #allergy #art #autoimmune #bodyHorror #bodyMapping #chronicIllness #chronicPain #chronicIllness #chronicPain #dermatology #longCovid #longcovid #mastCell #mcas #meCfs #mecfs #medart #medical #medicalArt #medicine #migraine #MillionsMissing #pwLC #pwme #rash #rheumatology #SciArt #sciartseptember #water

2025-8-17 The water isn’t the whole picture… but what is?

https://www.illmarks.com/2025-8-17-the-water-isnt-the-whole-picture-but-what-is/

#allergen #allergy #art #autoimmune #bodyHorror #bodyMapping #chronicIllness #chronicPain #chronicIllness #chronicPain #dermatology #longCovid #longcovid #mastCell #mcas #meCfs #mecfs #medart #medical #medicalArt #medicine #migraine #MillionsMissing #pwLC #pwme #rash #rheumatology #SciArt #sciartseptember #water

2025-8-17 The water isn’t the whole picture… but what is?

https://www.illmarks.com/2025-8-17-the-water-isnt-the-whole-picture-but-what-is/

#allergen #allergy #art #autoimmune #bodyHorror #bodyMapping #chronicIllness #chronicPain #chronicIllness #chronicPain #dermatology #longCovid #longcovid #mastCell #mcas #meCfs #mecfs #medart #medical #medicalArt #medicine #migraine #MillionsMissing #pwLC #pwme #rash #rheumatology #SciArt #sciartseptember #water

2025-8-17 The water isn’t the whole picture… but what is?

https://www.illmarks.com/2025-8-17-the-water-isnt-the-whole-picture-but-what-is/

#allergen #allergy #art #autoimmune #bodyHorror #bodyMapping #chronicIllness #chronicPain #chronicIllness #chronicPain #dermatology #longCovid #longcovid #mastCell #mcas #meCfs #mecfs #medart #medical #medicalArt #medicine #migraine #MillionsMissing #pwLC #pwme #rash #rheumatology #SciArt #sciartseptember #water

2025-8-17 The water isn’t the whole picture… but what is?

https://www.illmarks.com/2025-8-17-the-water-isnt-the-whole-picture-but-what-is/

#allergen #allergy #art #autoimmune #bodyHorror #bodyMapping #chronicIllness #chronicPain #chronicIllness #chronicPain #dermatology #longCovid #longcovid #mastCell #mcas #meCfs #mecfs #medart #medical #medicalArt #medicine #migraine #MillionsMissing #pwLC #pwme #rash #rheumatology #SciArt #sciartseptember #water

Symptoms: Photosensitivity and Venous Insufficiency

https://www.illmarks.com/symptom-photosensitivity-and-venous-insufficiency/

#art #autoimmune #bodyHorror #bodyMapping #cardiology #chronicIllness #immunocompromised #longCovid #longcovid #medart #medicalArt #MillionsMissing #pwLC #pwme #rheumatology #SciArt

PER-001 Implant Safely Improves Ocular Health in Patients with DR https://www.byteseu.com/1252835/ #allergy #cardiology #clinicians #dermatology #diabetes #doctors #Drugs #Endocrinology #FDA #gastroenterology #Health #Healthcare #hematology #InfectiousDisease #insight #InternalMedicine #Interviews #Medical #Medicine #News #ophthalmology #Pharmaceuticals #pipeline #PrimaryCare #providers #Psychiatry #pulmonology #RareDisease #Research #rheumatology #Science #treatments

👀Looking into the future! 📈 Just wanted to share our patient outcome prediction model which we presented at EULAR 2025.

We have designed a #forecasting #model that can follow a patient's swollen joint count over time and estimate if their
condition will improve or worsen.

ZiteLab #pytorch #sktime #opensource #personalizedmedicine #ai #ml #timeseries #rheumatology

(1/2)

https://www.europesays.com/uk/193670/ Study Links Gout and GCKR Gene #allergy #cardiology #clinicians #dermatology #diabetes #doctors #Drugs #endocrinology #FDA #gastroenterology #Genetics #Health #Healthcare #hematology #InfectiousDisease #insight #InternalMedicine #Interviews #medical #Medicine #News #ophthalmology #Pharmaceuticals #pipeline #PrimaryCare #providers #Psychiatry #pulmonology #RareDisease #Research #rheumatology #Science #treatments #UK #UnitedKingdom

Decades of mystery around a painful arthritis condition may finally be unraveling — thanks to genes. #ArthritisResearch #Genetics #Rheumatology

https://geekoo.news/a-genetic-breakthrough-in-fighting-crystal-induced-arthritis/

#HiveMind #Genetics #Genomics #Rheumatology #MachineLearning

Any suggestions for preprint server for a Note going to Arthritis and Rheumatology? I've put together a note on LLM use trying to point out limitations that most of the rheumatologists I knew didn't realize. medRxiv questions say not in scope. bioRxiv questions say not in scope. Ideas of where to preprint this?

Looking for story ideas on the subject of #rheumatology. New studies, clinical studies (not mouse or cell studies); new important guideline changes -- that sort of thing. Things that would be relevant to Canadian family docs. Could be nutrition, cross-specialty, pediatric or adult, new findings that are out-of-class, #epidemiology... lots of possibilities. Not so interested in 1 drug vs placebo studies -- something more interesting.
#arthritis #scleraderma #OsteoArthritis #lupus and so on...

#MedMastodon @medmastodon

Gout update.
For #doctors and #pharmacists in #Canada. An overview I wrote for The Medical Post/Canadian #Healthcare Network.

"Refresher on #gout: the only curable arthritis
Often only seen in crisis, patients with gout can be cured with the right treatment and follow-up.
By Pippa Wysong

Gout is the most common inflammatory arthritis, yet it is frequently underdiagnosed, misdiagnosed and often mistreated.

Yet, according to rheumatologist Dr. Jean-Philip Deslauriers, once patients are on the right treatment, it’s the only arthritis where a cure can be achieved.

“With other arthritis conditions, the goal is remission. But with gout one can get rid of the underlying disease and attain a cure,” he said. Dr. Deslauriers is a clinical professor of #medicine at the University of Sherbrooke and spokesperson for the Arthritis Society of Canada (ASC).

“Gout is easy to treat, and most cases can be managed by family #doctors,” told the Medical Post in an interview. Gout is a painful #arthritis caused by elevated levels of serum uric acid (UA), hyperuricaemia.

Prolonged hyperuricaemia (which is generally asymptomatic and can be present for years) leads to the deposition of monosodium urate crystals in synovial fluid and other body tissues. Eventually, neutrophils will venture into the joint to try to destroy the crystals (partly unsuccessfully) but end up triggering an episode of painful inflammation—a gout crisis in which patients present with inflamed, painful and swollen joints. Often, but not always, the affected joint is in the foot or ankle, especially the first metatarsophalangeal joint.

Crystals can also be deposited in other tissue and sometimes break through the skin creating yellowish-white nodules called tophi.

There are several reasons why gout can be missed. One is that symptoms are intermittent and it can take years for crystals to build up inside joints. A patient may present to an outpatient clinic or ER where acute symptoms are treated with colchicine, #NSAIDs, cortisone infiltration or prednisone for their acute crisis, and then sent home and told to see their family physician for follow-up.
Crisis and oft missed opportunity

But a crisis, in the early stage of the disease, tends to last for only three or four days. By the time patients see an FP, they feel fine and may not mention it—if they even have access to an FP.

“Often there is only management for the crisis itself. If we don’t address the underlying cause which is too much uric acid in their blood, crises will happen again, more intensely and more frequently. And the disease will affect more joints. Over time this can lead to deformity and erosion, possible crystal formation in soft tissue called tophi,” Dr. Deslauriers said.

According to the 2018 recommendations for gout by the European League Against Rheumatism (EULAR), several features need to be taken into account for a diagnosis. These are: monoarticular involvement of a foot or ankle joint; previous acute episodes; rapid onset of severe pain and swelling; erythema; being male and associated #cardiovascular diseases, plus hyperuricaemia.

For a definite diagnosis, crystals need to be seen in synovial fluid or tophus aspirates.

Both the EULAR and American College of Rheumatology (ACR) guidelines state that once gout is confirmed, treatment to lower UA levels can start even while the patient is in crisis

“This is a very important point because if not done when the patient is assessed during his acute crisis, it often isn’t done at all,’’ Dr. Deslauriers said...."

The rest of the story is on the site. Sorry, password protected for people in Canadian healthcare.

#MedMastoson #rheumatology

https://www.canadianhealthcarenetwork.ca/refresher-gout-only-curable-arthritis

Gout update.
For #doctors and #pharmacists in #Canada. An overview I wrote for The Medical Post/Canadian #Healthcare Network.

"Refresher on #gout: the only curable arthritis
Often only seen in crisis, patients with gout can be cured with the right treatment and follow-up.
By Pippa Wysong

Gout is the most common inflammatory arthritis, yet it is frequently underdiagnosed, misdiagnosed and often mistreated.

Yet, according to rheumatologist Dr. Jean-Philip Deslauriers, once patients are on the right treatment, it’s the only arthritis where a cure can be achieved.

“With other arthritis conditions, the goal is remission. But with gout one can get rid of the underlying disease and attain a cure,” he said. Dr. Deslauriers is a clinical professor of #medicine at the University of Sherbrooke and spokesperson for the Arthritis Society of Canada (ASC).

“Gout is easy to treat, and most cases can be managed by family #doctors,” told the Medical Post in an interview. Gout is a painful #arthritis caused by elevated levels of serum uric acid (UA), hyperuricaemia.

Prolonged hyperuricaemia (which is generally asymptomatic and can be present for years) leads to the deposition of monosodium urate crystals in synovial fluid and other body tissues. Eventually, neutrophils will venture into the joint to try to destroy the crystals (partly unsuccessfully) but end up triggering an episode of painful inflammation—a gout crisis in which patients present with inflamed, painful and swollen joints. Often, but not always, the affected joint is in the foot or ankle, especially the first metatarsophalangeal joint.

Crystals can also be deposited in other tissue and sometimes break through the skin creating yellowish-white nodules called tophi.

There are several reasons why gout can be missed. One is that symptoms are intermittent and it can take years for crystals to build up inside joints. A patient may present to an outpatient clinic or ER where acute symptoms are treated with colchicine, #NSAIDs, cortisone infiltration or prednisone for their acute crisis, and then sent home and told to see their family physician for follow-up.
Crisis and oft missed opportunity

But a crisis, in the early stage of the disease, tends to last for only three or four days. By the time patients see an FP, they feel fine and may not mention it—if they even have access to an FP.

“Often there is only management for the crisis itself. If we don’t address the underlying cause which is too much uric acid in their blood, crises will happen again, more intensely and more frequently. And the disease will affect more joints. Over time this can lead to deformity and erosion, possible crystal formation in soft tissue called tophi,” Dr. Deslauriers said.

According to the 2018 recommendations for gout by the European League Against Rheumatism (EULAR), several features need to be taken into account for a diagnosis. These are: monoarticular involvement of a foot or ankle joint; previous acute episodes; rapid onset of severe pain and swelling; erythema; being male and associated #cardiovascular diseases, plus hyperuricaemia.

For a definite diagnosis, crystals need to be seen in synovial fluid or tophus aspirates.

Both the EULAR and American College of Rheumatology (ACR) guidelines state that once gout is confirmed, treatment to lower UA levels can start even while the patient is in crisis

“This is a very important point because if not done when the patient is assessed during his acute crisis, it often isn’t done at all,’’ Dr. Deslauriers said...."

The rest of the story is on the site. Sorry, password protected for people in Canadian healthcare.

#MedMastoson #rheumatology

https://www.canadianhealthcarenetwork.ca/refresher-gout-only-curable-arthritis

Gout update.
For #doctors and #pharmacists in #Canada. An overview I wrote for The Medical Post/Canadian #Healthcare Network.

"Refresher on #gout: the only curable arthritis
Often only seen in crisis, patients with gout can be cured with the right treatment and follow-up.
By Pippa Wysong

Gout is the most common inflammatory arthritis, yet it is frequently underdiagnosed, misdiagnosed and often mistreated.

Yet, according to rheumatologist Dr. Jean-Philip Deslauriers, once patients are on the right treatment, it’s the only arthritis where a cure can be achieved.

“With other arthritis conditions, the goal is remission. But with gout one can get rid of the underlying disease and attain a cure,” he said. Dr. Deslauriers is a clinical professor of #medicine at the University of Sherbrooke and spokesperson for the Arthritis Society of Canada (ASC).

“Gout is easy to treat, and most cases can be managed by family #doctors,” told the Medical Post in an interview. Gout is a painful #arthritis caused by elevated levels of serum uric acid (UA), hyperuricaemia.

Prolonged hyperuricaemia (which is generally asymptomatic and can be present for years) leads to the deposition of monosodium urate crystals in synovial fluid and other body tissues. Eventually, neutrophils will venture into the joint to try to destroy the crystals (partly unsuccessfully) but end up triggering an episode of painful inflammation—a gout crisis in which patients present with inflamed, painful and swollen joints. Often, but not always, the affected joint is in the foot or ankle, especially the first metatarsophalangeal joint.

Crystals can also be deposited in other tissue and sometimes break through the skin creating yellowish-white nodules called tophi.

There are several reasons why gout can be missed. One is that symptoms are intermittent and it can take years for crystals to build up inside joints. A patient may present to an outpatient clinic or ER where acute symptoms are treated with colchicine, #NSAIDs, cortisone infiltration or prednisone for their acute crisis, and then sent home and told to see their family physician for follow-up.
Crisis and oft missed opportunity

But a crisis, in the early stage of the disease, tends to last for only three or four days. By the time patients see an FP, they feel fine and may not mention it—if they even have access to an FP.

“Often there is only management for the crisis itself. If we don’t address the underlying cause which is too much uric acid in their blood, crises will happen again, more intensely and more frequently. And the disease will affect more joints. Over time this can lead to deformity and erosion, possible crystal formation in soft tissue called tophi,” Dr. Deslauriers said.

According to the 2018 recommendations for gout by the European League Against Rheumatism (EULAR), several features need to be taken into account for a diagnosis. These are: monoarticular involvement of a foot or ankle joint; previous acute episodes; rapid onset of severe pain and swelling; erythema; being male and associated #cardiovascular diseases, plus hyperuricaemia.

For a definite diagnosis, crystals need to be seen in synovial fluid or tophus aspirates.

Both the EULAR and American College of Rheumatology (ACR) guidelines state that once gout is confirmed, treatment to lower UA levels can start even while the patient is in crisis

“This is a very important point because if not done when the patient is assessed during his acute crisis, it often isn’t done at all,’’ Dr. Deslauriers said...."

The rest of the story is on the site. Sorry, password protected for people in Canadian healthcare.

#MedMastoson #rheumatology

https://www.canadianhealthcarenetwork.ca/refresher-gout-only-curable-arthritis

Gout update.
For #doctors and #pharmacists in #Canada. An overview I wrote for The Medical Post/Canadian #Healthcare Network.

"Refresher on #gout: the only curable arthritis
Often only seen in crisis, patients with gout can be cured with the right treatment and follow-up.
By Pippa Wysong

Gout is the most common inflammatory arthritis, yet it is frequently underdiagnosed, misdiagnosed and often mistreated.

Yet, according to rheumatologist Dr. Jean-Philip Deslauriers, once patients are on the right treatment, it’s the only arthritis where a cure can be achieved.

“With other arthritis conditions, the goal is remission. But with gout one can get rid of the underlying disease and attain a cure,” he said. Dr. Deslauriers is a clinical professor of #medicine at the University of Sherbrooke and spokesperson for the Arthritis Society of Canada (ASC).

“Gout is easy to treat, and most cases can be managed by family #doctors,” told the Medical Post in an interview. Gout is a painful #arthritis caused by elevated levels of serum uric acid (UA), hyperuricaemia.

Prolonged hyperuricaemia (which is generally asymptomatic and can be present for years) leads to the deposition of monosodium urate crystals in synovial fluid and other body tissues. Eventually, neutrophils will venture into the joint to try to destroy the crystals (partly unsuccessfully) but end up triggering an episode of painful inflammation—a gout crisis in which patients present with inflamed, painful and swollen joints. Often, but not always, the affected joint is in the foot or ankle, especially the first metatarsophalangeal joint.

Crystals can also be deposited in other tissue and sometimes break through the skin creating yellowish-white nodules called tophi.

There are several reasons why gout can be missed. One is that symptoms are intermittent and it can take years for crystals to build up inside joints. A patient may present to an outpatient clinic or ER where acute symptoms are treated with colchicine, #NSAIDs, cortisone infiltration or prednisone for their acute crisis, and then sent home and told to see their family physician for follow-up.
Crisis and oft missed opportunity

But a crisis, in the early stage of the disease, tends to last for only three or four days. By the time patients see an FP, they feel fine and may not mention it—if they even have access to an FP.

“Often there is only management for the crisis itself. If we don’t address the underlying cause which is too much uric acid in their blood, crises will happen again, more intensely and more frequently. And the disease will affect more joints. Over time this can lead to deformity and erosion, possible crystal formation in soft tissue called tophi,” Dr. Deslauriers said.

According to the 2018 recommendations for gout by the European League Against Rheumatism (EULAR), several features need to be taken into account for a diagnosis. These are: monoarticular involvement of a foot or ankle joint; previous acute episodes; rapid onset of severe pain and swelling; erythema; being male and associated #cardiovascular diseases, plus hyperuricaemia.

For a definite diagnosis, crystals need to be seen in synovial fluid or tophus aspirates.

Both the EULAR and American College of Rheumatology (ACR) guidelines state that once gout is confirmed, treatment to lower UA levels can start even while the patient is in crisis

“This is a very important point because if not done when the patient is assessed during his acute crisis, it often isn’t done at all,’’ Dr. Deslauriers said...."

The rest of the story is on the site. Sorry, password protected for people in Canadian healthcare.

#MedMastoson #rheumatology

https://www.canadianhealthcarenetwork.ca/refresher-gout-only-curable-arthritis

Gout update.
For #doctors and #pharmacists in #Canada. An overview I wrote for The Medical Post/Canadian #Healthcare Network.

"Refresher on #gout: the only curable arthritis
Often only seen in crisis, patients with gout can be cured with the right treatment and follow-up.
By Pippa Wysong

Gout is the most common inflammatory arthritis, yet it is frequently underdiagnosed, misdiagnosed and often mistreated.

Yet, according to rheumatologist Dr. Jean-Philip Deslauriers, once patients are on the right treatment, it’s the only arthritis where a cure can be achieved.

“With other arthritis conditions, the goal is remission. But with gout one can get rid of the underlying disease and attain a cure,” he said. Dr. Deslauriers is a clinical professor of #medicine at the University of Sherbrooke and spokesperson for the Arthritis Society of Canada (ASC).

“Gout is easy to treat, and most cases can be managed by family #doctors,” told the Medical Post in an interview. Gout is a painful #arthritis caused by elevated levels of serum uric acid (UA), hyperuricaemia.

Prolonged hyperuricaemia (which is generally asymptomatic and can be present for years) leads to the deposition of monosodium urate crystals in synovial fluid and other body tissues. Eventually, neutrophils will venture into the joint to try to destroy the crystals (partly unsuccessfully) but end up triggering an episode of painful inflammation—a gout crisis in which patients present with inflamed, painful and swollen joints. Often, but not always, the affected joint is in the foot or ankle, especially the first metatarsophalangeal joint.

Crystals can also be deposited in other tissue and sometimes break through the skin creating yellowish-white nodules called tophi.

There are several reasons why gout can be missed. One is that symptoms are intermittent and it can take years for crystals to build up inside joints. A patient may present to an outpatient clinic or ER where acute symptoms are treated with colchicine, #NSAIDs, cortisone infiltration or prednisone for their acute crisis, and then sent home and told to see their family physician for follow-up.
Crisis and oft missed opportunity

But a crisis, in the early stage of the disease, tends to last for only three or four days. By the time patients see an FP, they feel fine and may not mention it—if they even have access to an FP.

“Often there is only management for the crisis itself. If we don’t address the underlying cause which is too much uric acid in their blood, crises will happen again, more intensely and more frequently. And the disease will affect more joints. Over time this can lead to deformity and erosion, possible crystal formation in soft tissue called tophi,” Dr. Deslauriers said.

According to the 2018 recommendations for gout by the European League Against Rheumatism (EULAR), several features need to be taken into account for a diagnosis. These are: monoarticular involvement of a foot or ankle joint; previous acute episodes; rapid onset of severe pain and swelling; erythema; being male and associated #cardiovascular diseases, plus hyperuricaemia.

For a definite diagnosis, crystals need to be seen in synovial fluid or tophus aspirates.

Both the EULAR and American College of Rheumatology (ACR) guidelines state that once gout is confirmed, treatment to lower UA levels can start even while the patient is in crisis

“This is a very important point because if not done when the patient is assessed during his acute crisis, it often isn’t done at all,’’ Dr. Deslauriers said...."

The rest of the story is on the site. Sorry, password protected for people in Canadian healthcare.

#MedMastoson #rheumatology

https://www.canadianhealthcarenetwork.ca/refresher-gout-only-curable-arthritis

So far Mastodon has felt like a pretty amazing place to connect with a wealth of bright people, so I'm hoping there's someone out there who might have some insight. Thanks ahead of time.

Also, this has been going on since pre-Covid times and to the best of my knowledge, I've not had Covid. /3

#medMastodon #spasms #rheumatology #physio #mecfs #longCovid #covid #doctors

Back from my first #rheumatology face to face #hospital #appointment in 3 years. I've had an auto immune disease #cerebral #vasculitis since 1994. But with the #Covid #pandemic many rheumatology patients were not seen at hospital for long periods. Very pleased with today's appointment, from an attentive and caring #consultant. Also pleased to see two medical students there, learning on the spot. Also impressed at very high level of #mask wearing in #Ninewells Hospital, #Dundee. Thank you #NHS.

Off to my first #hospital appointment in three years tomorrow. Slightly trepidatious, not least the risk of picking up #Covid there. But glad to be seeing a #rheumatologist again. The last few years have been torrid for me with constant #neurological flares. To be fair there isn’t much the rheumy can do to fix that in the current continuing fallout from the #pandemic. #NHS #Medicine #Immunosuppressed #Rheumatology

New research in #Rheumatology shows that #ClonalHematopoiesis is much more common in patients with #Lupus (#SLE) than the overall population. However, the prevalence didn't appear to be associated with use of immunosuppressive therapies: https://academic.oup.com/rheumatology/article-abstract/61/11/4355/6530303 #medicine #science

Hello #rheumatology #pharmacoepidemiology #epidemiology #biostatistics communities
#introduction I am a rheumatologist by clinical training, pharmacoepidemiologist by academic training. I work at a health care data/analytics company as a medical director and am involved in data product development and research projects in rheumatology/immunology.