A 31-year-old Army specialist presenting with acute oligoarthritis

A 31-year-old Army specialist was evaluated at Walter Reed Army Medical Center for an acute attack of arthritis in the left hand. After an initial evaluation, the patient was referred to the rheumatology service, and gout was diagnosed on the basis of synovial fluid analysis. This case demonstrates...

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Bibliographic Details
Published inMilitary medicine Vol. 173; no. 10; pp. 1044 - 1047
Main Authors Keith, Michael P, Roebuck, Jonathan D
Format Journal Article
LanguageEnglish
Published England Oxford University Press 01.10.2008
Subjects
Acute Disease
Adult
Allopurinol - therapeutic use
Arthritis, Gouty - diagnosis
Arthritis, Gouty - drug therapy
Arthritis, Gouty - physiopathology
Gout Suppressants - therapeutic use
Humans
Male
Military Medicine
Military Personnel
Synovial Fluid
United States
Uric Acid - blood
United States
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Summary:A 31-year-old Army specialist was evaluated at Walter Reed Army Medical Center for an acute attack of arthritis in the left hand. After an initial evaluation, the patient was referred to the rheumatology service, and gout was diagnosed on the basis of synovial fluid analysis. This case demonstrates an uncommon presentation of a common disorder in an active duty soldier. The discussions presented following the clinical data are meant to expand diagnostic considerations for patients with similar symptoms, to address risk factors for gout relevant to the military, and to clarify the management of gout.
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ISSN:0026-4075
1930-613X
DOI:10.7205/MILMED.173.10.1044