Joint Clinical Consensus Statement of the American College of Foot and Ankle Surgeons® and the American Association of Nurse Practitioners®: Etiology, Diagnosis, and Treatment Consensus for Gouty Arthritis of the Foot and Ankle.

Roya Mirmiran, Tom Bush, Michele M Cerra, Sean Grambart, Elaine Kauschinger, Melissa Younger, Michael Zychowicz

Journal: The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons 2019;57(6):1207-1217

PMID: 30368431

Abstract

Gout is a condition that commonly affects the foot and ankle, and practitioners who treat these structures should be aware of the methods to diagnose and treat this form of arthritis. Practitioners also need to recognize extra-articular manifestations of the disease. Although the acutely red, hot, swollen joint is a common presentation, chronic tophaceous gout can be associated with pain, nodule formation, and cutaneous compromise. Since the underlying causes that lead to excessive monosodium urate deposition may be treatable, early and accurate diagnosis can be very beneficial and may even prevent articular degeneration.

Copyright © 2018. Published by Elsevier Inc.

Address: Foot and Ankle Surgeon, Department of Surgery, Sutter Medical Group, Sacramento, CA. Electronic address: [email protected].; Associate Professor and Assistant Dean for Practice, University of North Carolina at Chapel Hill Schools of Nursing and Medicine, Chapel Hill, NC.; Director of the Duke NP/PA Rheumatology Fellowship Program & Faculty, Department of Medicine, Duke University School of Medicine, NC.; Foot and Ankle Surgeon, Carle Physician Group, Department of Surgery, Champaign, IL.; Clinical Assistant Professor, Duke University School of Nursing, Durham, NC.; Podiatric Research Fellow, Penn Presbyterian Medical Center, Philadelphia, PA.; Professor and Director of MSN Program & Lead Faculty in Orthopedic NP Specialty, Duke University School of Nursing, Durham, NC.
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