RESUMO
The most definitive method of diagnosis for acute gouty arthritis is aspiration of the affected joint and examination of the fluid for the characteristic needle-shaped monosodium urate crystals. Treatment is aimed at promptly stopping the attack and reversing complications. Colchicine and various nonsteroidal anti-inflammatory drugs are effective for both treatment and prophylaxis. Antihyperuricemic therapy may be indicated in patients who have had several attacks in a year.
Assuntos
Artrite Gotosa/tratamento farmacológico , Doença Aguda , Alopurinol/uso terapêutico , Anti-Inflamatórios não Esteroides/uso terapêutico , Artrite Gotosa/diagnóstico , Artrite Gotosa/prevenção & controle , Colchicina/uso terapêutico , Glucocorticoides/administração & dosagem , Humanos , Recidiva , Uricosúricos/uso terapêuticoRESUMO
Nonarticular pain syndromes, although not inherently crippling, can have significant impact on patients' comfort, daily activities, and job performance. These syndromes include fibromyalgia, bursitis, tendinitis, and localized myofascial pain syndromes. Although differentiating these conditions from one another may be difficult, early diagnosis and follow-up are important for determining appropriate treatment. Depending on the diagnosis, treatment may include use of nonsteroidal anti-inflammatory drugs, analgesics, or corticosteroid injections; trigger-point desensitization therapy; physical therapy; and patient education.
