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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

Insights

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:

  • 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.

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