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Diagnosis of gout by ultrasound.
US can detect deposition of MSU crystals on cartilaginous surfaces (P < 0.001) as well as tophaceous material and typical erosions, and may serve as a non-invasive means to diagnose gout.
Canakinumab for the treatment of acute flares in difficult-to-treat gouty arthritis: Results of a multicenter, phase II, dose-ranging study.
It is indicated that canakinumab 150 mg provides rapid and sustained pain relief in patients with acute gouty arthritis, and significantly reduces the risk of recurrent flares compared with triamcinolone acetonide.
Canakinumab for acute gouty arthritis in patients with limited treatment options: results from two randomised, multicentre, active-controlled, double-blind trials and their initial extensions
Canakinumab provided significant pain and inflammation relief and reduced the risk of new flares in these patients with acute gouty arthritis.
Diagnosis of gout: clinical, laboratory, and radiologic findings.
- N. Schlesinger
- MedicineThe American journal of managed care
- 15 November 2005
An overview of the various classification criteria, clinical presentations, and laboratory and radiologic studies needed to make the diagnosis of gout is presented.
Canakinumab reduces the risk of acute gouty arthritis flares during initiation of allopurinol treatment: results of a double-blind, randomised study
Single canakinumab doses ≥50 mg or four 4-weekly doses provided superior prophylaxis against flares compared with daily colchicine 0.5 mg at 16 weeks.
Uric acid in Parkinson's disease
- I. Schlesinger, N. Schlesinger
- PsychologyMovement disorders : official journal of the…
- 15 September 2008
It is possible that a high purine diet in patients with PD may slow progression of the disease and the manipulation of SU levels holds promise in the treatment of PD.
Management of acute and chronic gouty arthritis: present state-of-the-art.
- N. Schlesinger
The use of recombinant urate oxidase in patients with chronic gout is limited by the need for parenteral administration, the potential antigenicity and production of anti-urate oxidase antibodies, and declining efficacy.
Local ice therapy during bouts of acute gouty arthritis.
Cold applications may be a useful adjunct to treatment of acute gouty arthritis and due to the small sample size the authors could not show statistically significant improvement in all the variables that tended to suggest that effect was more than simply analgesic.
Ultrasonography shows disappearance of monosodium urate crystal deposition on hyaline cartilage after sustained normouricemia is achieved
In patients with monosodium urate crystal proven gout, sonographic signs of deposition of MSU crystals on the surface of hyaline cartilage disappeared completely if sustained normouricemia was achieved, the first report showing that characteristic sonographic changes are influenced by ULDs once SU levels remain ≤6 mg/dl for 7 months or more.
Colchicine to Weather the Cytokine Storm in Hospitalized Patients with COVID-19
Patients receiving colchicine were approximately five times more likely to be discharged than those receiving standard of care at the end of the 28 day follow-up, and these observations warrant further investigation in large controlled clinical trials.