Both gout and calcium pyrophosphate dihydrate CPPD arthropathies are crystal deposit diseases; finding monosodium urate MSU or CPPD crystals in a synovial fluid sample, or in a tophi in the case of gout, provide a definitive, unequivocal diagnosis. Despite having such a simple and precise diagnostic test, in both crystal arthitides there is the accepted habit of approaching their diagnosis on clinical grounds accompanied by hyperuricemia for gout, or chondrocalcinosis for the CPPD related arthropathy. Typical clinical presentations suggesting crystal arthitides may be due to other causes, and more important, less typical presentations, which are not uncommon, will pass undiagnosed unless crystals are systematically searched for in a synovial fluid sample from all undiagnosed arthropathies. Finally the precision of a clinical diagnosis made by an expert rheumatologist is higher than that of a less experienced or less specialized physician, and by approaching the diagnosis of the crystal arthritides on clinical grounds, expert rheumatologists support the inaccurate approach of other physicians with a wider margin of error..
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Musculoskeletal system assessment in an emergency room. Rev Bras Reumatol. Nassonov EL. Musculoskeletal disorders in Russia at the end of the 20th century.
J Rheumatol Suppl. Rheumatology Oxford. Musculoskeletal infections. Semin Roentgenol. Septic arthritis. Best Pract Res Clin Rheumatol. Management of septic arthritis: a systematic review.
Brook I. Microbiology and management of joint and bone infections due to anaerobic bacteria. J Orthop Sci. Infecciones osteoarticulares y de partes blandas. Clinical features and outcome of septic arthritis in a single UK Health District Mathews CJ, Coakley G.
Septic arthritis: current diagnostic and therapeutic algorithm. Curr Opin Rheumatol. An 18 year clinical review of septic arthritis from tropical Australia. Septic arthritis of the glenohumeral joint. A report of 11 cases and review of the literature. Medicine Baltimore. Infection and musculoskeletal conditions: Rheumatologic complications of HIV infection.
Kherani RB, Shojania K. Septic arthritis in patients with pre-existing inflammatory arthritis. Praxis Bern Emergencias [Internet]. Gonococcal and nongonococcal arthritis. North Am. Musculoskeletal infections in intravenous drug addicts: report of 34 cases with analysis of microbiological aspects and pathogenic mechanisms. Nongonococcal bacterial arthritis. The management of septic arthritis in children: systematic review of the English language literature.
J Bone Joint Surg Br. Siegel DM. Chronic arthritis in adolescence. Adolesc Med State Art Rev. Osteoarticular infectious complications in patients with primary immunodeficiencies. Molecular biology of infectious agents in chronic arthritis. Polyarticular septic arthritis. Ross JJ, Shamsuddin H. Sternoclavicular septic arthritis: review of cases.
Streptococcus pneumoniae septic arthritis complicating hip osteonecrosis in adults: case report and review of the literature. The outcome of bacterial arthritis: a prospective community-based study. Arthritis Rheum. Ultrasound guided versus conventional joint and soft tissue fluid aspiration in rheumatology practice: a pilot study.
Ultrasound imaging for the rheumatologist. Ultrasound-guided procedures. Synovial fluid culture and blood culture in acute arthritis. A multi-case report of 90 patients. Punzi L, Oliviero F. Arthrocentesis and synovial fluid analysis in clinical practice: value of sonography in difficult cases. Improved method of isolating bacteria from joint fluids by the use of blood culture bottles. Synovial fluid lactic acid. A diagnostic aid in septic arthritis. Diagnostic utility of laboratory tests in septic arthritis.
Emerg Med J. Laboratory tests in adults with monoarticular arthritis: can they rule out a septic joint? Acad Emerg Med. Goldenberg DL. Septic arthritis and other infections of rheumatologic significance.
Radiographic imaging in osteomyelitis: the role of plain radiography, computed tomography, ultrasonography, magnetic resonance imaging, and scintigraphy. Semin Plast Surg.
Musculoskeletal ultrasound. Z Rheumatol. Grobbelaar N, Bouffard JA. Sonography of the knee, a pictorial review. Ultrasound CT MR. Approach to septic arthritis. Am Fam Physician. Open Journal Systems. Ayuda de la revista. Inicio Acerca de Palabras clave Artritis infecciosa, monoartritis.
Acute septic arthritis. Levine M, Siegel LB. A swollen joint: why all the fuss? Am J Ther. Bacterial arthritis. Cimmino MA. Recognition and management of bacterial arthritis. Geipel U. Pathogenic organisms in hip joint infections. Int J Med Sci. Bianchi S, Martinoli C. Madrid: Marban; Recordar mis datos.
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