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Query: UMLS:C0018099 (gout)
 5,192 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A statistical method was used in the evaluation of alpha-1-antitrypsin, acid alpha-1-glycoprotein, and haptoglobin in patients with rheumatic fever, rheumatoid arthritis, gout, periarthritis, arthrosis with inflammation, and primary arthrosis. A highly significant increase was noted in rheumatic fever and rheumatoid arthritis, less so in arthrosis with inflammation and acute gout, while increases were poorly significant for periarthritis and not significant for primary arthrosis. It can be concluded that the determination of these serum sialoglycoproteins serves to distinguish inflammatory and degenerative rheumatism. Haptoglobin proved the most sensitive of the three. Moreover, there was a distinct correlation between ESR and the three indices. It is felt that sialoglycoproteins act as an indirect pointer to acute inflammation, since their degree of increase is related to the formation of inflammatory proteases.
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PMID:[Value and significance of the immunologic determination of various serum sialoglycoproteins in rheumatic diseases of inflammatory nature]. 11 11

A study was made of 45 patients suffering from hydroxyapatite rheumatism (multiple tendon calcifications disease). There were 36 women and 9 men aged between 15 and 61 years with an average age of 14. The following joints were involved (the first figure refers to clinical affection, that between brackets to radiologically demonstrable calcifications): shoulder 34 (36); neck 14 (15); wrist 18 (11); fingers 19 (17); hip 11 (29); knee 14 (18); ankle 10 (14); foot 5 (6); spinal column 16 (24). In 30 patients the disease manifested itself in the form of acute recurrent migratory arthritis resembling gout. In 8 cases, it developed in the form of acute recurrent migratory arthritis resembling gout. In 8 cases, it developed in the form of acute polyarthritis and in 7 as rheumatoid arthritis without radiological lesions. Thirty-two patients could be followed up. Four of them were cured, 9 showed improvement but still suffered attacks of pain. Eighteen patients were not improved, their pains growing more chronic. Four patients had a family history of multiple tendon calcifications disease.
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PMID:[Hydroxyapatite rheumatism (multiple tendon calcification disease). I.- Clinical study]. 30 25

D-2-(6'-Methoxy-2'-naphthyl)-propionic acid (naproxen) is a relatively well-known non-hormonal anti-inflammatory agent useful for long-term usage. The efficacy of naproxen in controlling the signs and symptoms of rheumatoid arthritis had been uniformly demonstrated in an extensive series of international double-blind trials lasting from a few weeks to four months. This paper deals with our experience with naproxen after 5 1/2 years of continuous usage. During this period of time ten different studies were conducted at the Rheumatology Departments of the General Hospital, Mexico City. The efficacy and tolerance of naproxen have been studied in the following indications: rheumatoid arthritis, osteoarthritis, acute and chronic gout and non-articular rheumatism. In these studies the usual clinical methods were used and some special objective methods were utilized in some others, for example, enzymology, scintigraphy, histopathology and arthroscopy. Some of these studies were comparative ones vs. some other well-known non-steroidal anti-inflammatory compounds such as aspirin, indometacin and ibuprofen. During the last 5 1/2 years 877 patients with different theumatic conditions were treated and observed in our Department and in the private practice. In 365 patients with rheumatoid arthritis excellent results were obtained in 34%, good in 36%, fair in 24% and negative in only 6%. In 358 patients with osteoarthritis excellent results were obtained in 28.2%, good in 46.6%, fair in 20% and negative in 5.3%. In 15 patients with acute gout using naproxen as exclusive therapy, excellent results were observed in nine patients very good in four, and unsatisfactory in only two cases. In 35 patients with chronic gout excellent results were observed in 22, good in 11 and negative in two. 93 patients out of the 877 studied since June 1969 used naproxen continuously as anti-rheumatic therapy for more than one year; 33 for more than two years; four patients for more than three years and five of the patients in a few days will complete 5 1/2 years. The side effects of the compound observed during this long period of time in these 877 patients on the g.i. tract, CNS, etc., although present in a limited number of cases (in less than 10% of total number of patients) were definitely less than those observed usually during anti-inflammatory therapy.
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PMID:Clinical and objective assessments of naproxen through 5 years of clinical experience. 80 24

The American Rheumatism Association sub-committe on classification criteria for gout analyzed data from more than 700 patients with gout, pseudogout, rheumatoid arthritis, or septic arthritis. Criteria for classifying a patient as having gout were a) the presence of characteristic urate crystals in the joint fluid, and/or b) a topus proved to contain urate crystals by chemical or polarized light microscopic means, and/or c) the presence of six of the twelve clinical, laboratory, and X-ray phenomena listed in Table 5.
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PMID:Preliminary criteria for the classification of the acute arthritis of primary gout. 85 19

A sample of 50 consecutive patients with gout was tested by means of a multiple-choice knowledge-testing questionnaire based on the Arthritis and Rheumatism Council's Gout: A Handbook for Patients. Patients were divided into two groups: (a) those tested with an illustrated booklet containing 89 cartoons, and (b) those tested with an unillustrated booklet with text exactly the same as in the illustrated booklet. No significant difference was observed in either the overall test scores between the two groups or between individual question scores. It was concluded that increasing the number of illustrations in the Arthritis and Rheumatism Council's handbook on gout had not significantly increased the value of this material as a communication aid. Certain sources of error have been discussed including the possibility of an 'interest factor' due to the inevitable interest patients have in reading about their own disease, and also the possibility that technical factors to do with page layout and picture/text imbalance might be responsible for failing to show differences between the two groups.
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PMID:The cartoon in doctor-patient communication. Further study of the Arthritis and Rheumatism Council handbook on gout. 87 59

Heliotropium curassavicum var. argentinum is widely employed in gout, rheumatism, neuralgias, arteriosclerotic disorders, muscular algias, phlebitis, varix and other illnesses. In order to analyze the genotoxic effect produced in vitro by this medicinal plant, chromosomal aberrations (CA), mitotic index (MI) and anaphase delay (AD) were studied in the CHO cell line, with and without the addition of S9 mix. Prepared according to the Argentine pharmacopeia 0.1, 1, 10 and 100 micrograms/ml plant decoction (aqueous extract) were assayed. One hundred cells per culture were studied for CA and AD, while MI was calculated for 2000 nuclei. The results revealed a significant increase in the percentage of abnormal metaphases (p less than 0.001) and in total aberrations (p less than 0.001). Both the MI and the AD affected the cell cycle. All results were enhanced by the addition of an S9 fraction. The toxic effect could be associated with pyrrolizidine alkaloids and their N-oxides, which through a process of in vitro metabolism become activated by microsomal oxidation and change into pyrrolic derivatives.
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PMID:Genotoxic action of an aqueous extract of Heliotropium curassavicum var. argentinum. 137 79

The third and the fourth fraction of the complement (C3 and C4), haptoglobin, fibrinogen, alpha 1-glycoprotein, alpha 2-macroglobulin and transferrin were examined in 692 patients with inflammatory joint disease--rheumatism, rheumatoid arthritis, ankylosing spondylarthritis, psoriatic arthritis, Reiter's syndrome, sacroiliitis [correction of sacroileitis], reactive arthritis, gout, osteoarthrosis and nosologically undefined arthritis in active or nonactive phase and in 60 healthy controls. The complement fractions studied show an increase of various degree and importance in almost all groups of patients in both phases studied. The relations between the complement fractions and the other acute phase indices show significant correlations between them and the other acute phase indices. C3 and to a certain degree C4 could be added to the acute phase reacting indices. Their place in the downgrade scale is as follows: fibrinogen, haptoglobin, alpha 1-glycoprotein, C3, C4, alpha 2-macroglobulin, transferrin.
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PMID:[A comparative study of serum complement (C3 and C4) in inflammatory joint diseases]. 170 1

There are extensive existing medical records of Federal Civil War troops. More than 160,000 cases of "acute rheumatism" occurred among these soldiers, and acute rheumatic fever was known to be the main cause. Infectious arthritides were frequent but not understood; gout was rare. "Chronic rheumatism" was diagnosed more than 246,000 times; prolonged rheumatic fever and reactive arthritis following dysentery were probably the major causes. Over 12,000 soldiers were discharged because of chronic rheumatism, many with "lumbago," which was probably spondylarthropathy.
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PMID:Rheumatic diseases among Civil War troops. 193 Mar 38

The basic principles of the determination of crystals in synovial fluid by means of the polarisation microscope are described. The presence of crystals in synovial fluid was determined in 48 patients with the following clinical diagnoses: rheumatoid arthritis, gout, pseudogout, reactive arthritis, in patients with a diagnosis of extraarticular rheumatism: peritendinitis, in patients with reactive arthritis and in 2 patients with injured knee joint. Crystals of Na urate, Ca-pyrophosphate dihydrate and cholesterol were found. The analysis of synovial fluid for the presence of crystals in an important diagnostic procedure contributing greatly to the quick and correct diagnosis of arthritis.
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PMID:[Identification of crystals in synovial fluid]. 196 21

In 24,964 employees of a shoe factory a retrospective analysis of the work incapacity on account of diseases of the locomotor system was made. On account of these diseases in the course of the calendar year 11.7% of the employees were unable to work and these diseases accounted for 19.5% of the sickness days. The largest number of work incapacities was in March and November. The mean period of work incapacity was 21.4 days. The shortest work incapacity was recorded in patients suffering from gout (13.2 days) and the longest one in patients with rheumatoid arthritis (125.4 days). The most frequent cause of work incapacity was back pain (62.2%), extraarticular rheumatism (17.4%) and osteoarthritis of the joints of the extremities (7.2%). Two hundred-sixty-four patients had in-patient treatment (9%). The greatest proportion of patients were hospitalized on account of back pain (54.9%). The mean period of hospitalization was 17.3 days. Between different factory medical officers relatively great differences in the number and length of granted work incapacity were found. The investigation revealed the importance of diseases of the locomotor system in the investigated shoe factory and the need to investigate the influence of the working environment and occupation on clinical manifestations of affections of the locomotor system.
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PMID:[Disease of the locomotor system in a shoe factory]. 214 Jul 14


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