Joint Clinical Consensus Statement of the American College of Foot and Ankle Surgeons® and the American Association of Nurse Practitioners™: Etiology, Diagnosis, and Treatment Consensus for Gouty Arthritis of the Foot and Ankle

Gout is a condition that commonly affects the foot and ankle, and practitioners who treat these structures should be aware of the methods used to diagnose and treat this form of arthritis. Practitioners also need to recognize extra-articular manifestations of the disease. Although the acutely red, h...

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Bibliographic Details
Published in:Journal for nurse practitioners 2018-11, Vol.14 (10), p.765-769.e13
Main Authors: Mirmiran, Roya, Bush, Tom, Cerra, Michele M., Grambart, Sean, Kauschinger, Elaine, Younger, Melissa, Zychowicz, Michael
Format: Article
Language:English
Subjects:
Ankle
Ankles
Arthritis
Best practice
Chronic pain
crystal analysis
diet
Diuretics
Ethnicity
Etiology
Evidence-based medicine
Feet
Gout
Medical diagnosis
Medical referrals
Medical treatment
Microscopy
monosodium urate
Nurse practitioners
Orthopedics
Patient education
Rheumatism
Surgery
thiazide diuretic
tophus
Uric acid
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Summary:Gout is a condition that commonly affects the foot and ankle, and practitioners who treat these structures should be aware of the methods used to diagnose and treat this form of arthritis. Practitioners also need to recognize extra-articular manifestations of the disease. Although the acutely red, hot, swollen joint is a common presentation, chronic tophaceous gout can be associated with pain, nodule formation, and cutaneous compromise. Since the underlying causes that lead to excessive monosodium urate deposition may be treatable, early and accurate diagnosis has been very beneficial and may even prevent articular degeneration. In this clinical consensus statement, gout as it affects the foot and ankle is discussed.
ISSN:1555-4155
1878-058X
DOI:10.1016/j.nurpra.2018.09.004