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Related Experiment Videos

Gout in the elderly, a separate entity?

E J ter Borg, J J Rasker

    Annals of the Rheumatic Diseases
    |January 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Elderly women with gout experience a delayed diagnosis and higher uric acid levels compared to men. Women also show distinct symptom presentation, including finger joint involvement, and higher diuretic use.

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    Clinical rheumatology·2016

    Area of Science:

    • Rheumatology
    • Geriatrics
    • Clinical Medicine

    Background:

    • Gout is a common form of inflammatory arthritis.
    • Understanding gender-specific differences in gout presentation is crucial for timely diagnosis and management, particularly in aging populations.

    Purpose of the Study:

    • To investigate and compare the clinical characteristics of gout in elderly women and men.
    • To identify potential differences in diagnostic delay, symptom onset, and associated factors between genders.

    Main Methods:

    • A retrospective study was conducted on 22 women and 18 men diagnosed with gout after age 60.
    • Data collected included time to diagnosis, joint involvement at onset, presence of tophi/Heberden's nodes, serum uric acid levels, and medication use (diuretics).

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    Main Results:

    • Gout diagnosis occurred later in women (mean 2.6 years) than in men (mean 1.2 years).
    • Symptom onset in fingers was observed in five women but no men.
    • Women had higher mean uric acid levels (0.61 mmol/l vs. 0.53 mmol/l) and greater diuretic use (95% vs. 56%).

    Conclusions:

    • Elderly women with gout present differently than men, with delayed diagnosis and a higher predilection for finger joint involvement.
    • Higher uric acid levels and increased diuretic use in women warrant further investigation into their role in gout pathogenesis and presentation.