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[Acute monarthritis].

P Roll1, S Kleinert, H-P Tony

  • 1Medizinische Klinik II, Schwerpunkt Rheumatologie/Klinische Immunologie, Universität Würzburg. Roll_P@medizin.uni-wuerzburg.de

MMW Fortschritte Der Medizin
|December 15, 2007
PubMed
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Diagnosing acute monarthritis involves considering osteoarthritis, gout, crystal arthropathies, reactive arthritis, and gonococcal arthritis. Septic arthritis must be ruled out, with arthrocentesis crucial for definitive diagnosis.

Area of Science:

  • Rheumatology
  • Infectious Diseases
  • Orthopedics

Background:

  • Acute monarthritis presents diverse etiologies, including osteoarthritis, gout, crystal arthropathies, reactive arthritis, and gonococcal arthritis.
  • Septic arthritis is a critical differential diagnosis requiring prompt exclusion.

Purpose of the Study:

  • To outline the differential diagnosis of acute monarthritis.
  • To emphasize the importance of arthrocentesis in diagnosis.

Main Methods:

  • Review of common causes of acute monarthritis.
  • Highlighting the necessity of ruling out septic arthritis.
  • Describing the role of arthrocentesis with microbiological workup.

Main Results:

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  • Osteoarthritis, gout, crystal arthropathies, reactive arthritis, and gonococcal arthritis are key considerations.
  • Arthrocentesis is essential for diagnosing crystal arthropathies and infectious origins.
  • Specialist consultation is recommended for further management.

    • Conclusions:

    • A systematic approach is vital for diagnosing acute monarthritis.
    • Prompt identification and exclusion of septic arthritis are paramount.
    • Arthrocentesis is a cornerstone diagnostic tool for joint effusions.