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ACP Journal Club |15 December 2015

Risk for septic arthritis was increased in adults with incident diagnosis of gout

Dennis G. Maki, MD, MACP

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Lim SY, Lu N, Choi HK. Septic arthritis in gout patients: a population-based cohort study. Rheumatology (Oxford). 2015 Jul 12. [Epub ahead of print] 26170377

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Geriatrics:

Rheumatology:

In adults with an incident diagnosis of gout, what is the risk for septic arthritis?
Inception cohort followed for a mean of 5 years.
The Health Improvement Network (THIN) database, representing 580 general practices in the UK.
72 073 adults ≥ 40 years of age (mean age 65 y, 71% men) who had incident diagnosis of gout. The control group comprised 358 342 adults without gout, matched for age, sex, date of study entry, and enrollment year. Exclusion criteria were history of septic arthritis, gout, osteoarthritis, rheumatoid arthritis, or other inflammatory rheumatic condition (seronegative spondyloarthropathies, psoriatic arthritis, connective tissue disease, vasculitides, or crystal arthropathy).
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Maki DG. Risk for septic arthritis was increased in adults with incident diagnosis of gout. Ann Intern Med. ;163:JC12. doi: 10.7326/ACPJC-2015-163-12-012

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Published: Ann Intern Med. 2015;163(12):JC12.

DOI: 10.7326/ACPJC-2015-163-12-012

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