Risk factors for gouty dactylitis

To investigate the risk factors associated with dactylitis in gout. The questionnaires of 73 consecutive gouty patients, diagnosed according to the ACR criteria, were reviewed. They were consecutively screened for the presence of dactylitis. Seven out of 73 (9.6%) patients showed dactylitis. They ha...

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Bibliographic Details
Published in:Clinical and experimental rheumatology 2009-11, Vol.27 (6), p.993-995
Main Authors: ANDRACCO, R, ZAMPOGNA, G, PARODI, M, CIMMINO, M. A
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Diseases of the osteoarticular system
Female
Fingers - pathology
Gout - diagnosis
Gout - pathology
Health Status
Humans
Inflammatory joint diseases
Male
Medical sciences
Metabolic diseases
Middle Aged
Miscellaneous. Osteoarticular involvement in other diseases
Other metabolic disorders
Purines and pyrimidines (gout, hyperuricemia...)
Risk Factors
Severity of Illness Index
Statistics, Nonparametric
Surveys and Questionnaires
Toes - pathology
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Summary:To investigate the risk factors associated with dactylitis in gout. The questionnaires of 73 consecutive gouty patients, diagnosed according to the ACR criteria, were reviewed. They were consecutively screened for the presence of dactylitis. Seven out of 73 (9.6%) patients showed dactylitis. They had (1) longer disease duration, (2) a higher number of involved joints, (3) higher serum uric acid concentration, (4) more tophi, (5) higher ESR, and (6) a higher number of ACR criteria besides crystal identification, than the others. By logistic regression, renal stones (OR 13.3, 95% CI 1.1-158.3), upper extremity involvement (OR 4.9, 95% CI 1.4-16.6), number of ACR criteria (OR 1.9, 95% CI 1.1-3.3), and ESR (OR 1.02, 95% CI 1-1.04), significantly predicted dactylitis. Dactylitis is a feature of gout representing an indicator of disease severity.
ISSN:0392-856X
1593-098X