This paper discusses that there are two approaches to the etiology of gouty arthritis: Orthopedic (PMR) and Renal.
Written in 2005; 3,925 words; 5 sources; MLA; $ 106.95
Paper Summary:
This paper explains that the Orthopedic approach states that gouty arthritis is a systemic inflammatory illness (PMR), which is a synovitis of the large proximal joints, although more distal joints also can be involved. The author points out that, in the Orthopedic approach, physical therapy is useful because patients' residual "stiffness" is more often mechanical rather than inflammatory in nature. The paper relates that the Renal approach states that an excess of uric acid in the body causes gout; this excess can be caused by an increase in production by the body, by under-eliminating of uric acid by the kidneys or by increased intake of foods containing purines that are metabolized to uric acid in the body.
Table of Contents
Introduction and Thesis of the Investigation
The Onset of Gout and a Brief Glimpse at the History of the Disease
A Brief History of Gouty Arthritis from the Viewpoint of Orthopedics
Epidemiology
Pathophysiology
Clinical Features
Some Treatments
Alternative Treatment
The Other Side of the Gouty Arthritis Argument
What is Gout or Gouty Arthritis?
This Group's Causes for the Disease
What are the Symptoms of Gout from their Viewpoint?
How is Gouty Arthritis Diagnosed?
Gout and Hyperuricemia
Risk Factors for Gouty Arthritis
Conditions and Concerns in the Treatment of Gouty Arthritis
With Knowledge of Both Sides of the Issue, What One Can Do?
From the Paper:
"Bruce first described polymyalgia rheumatica in 1888 when he reported on five senior patients with a proximal muscular syndrome that he called "senile rheumatic gout." The syndrome next appeared under the name "humeroscapular periathrosis," in 1945 and later as "anarthritic rheumatoid arthritis." Bagratuni coined this latter term because he felt that such patients had a forme fruste of rheumatoid arthritis. Two of the 50 patients he reported went on to develop rheumatoid arthritis and 8 others had transient swelling of various joints. He felt that the term anarthritic rheumatoid arthritis was more appropriate than polymyalgia rheumatica coined by Barber in 1957. Finally, Healey has furthered the concept of PMR as a systemic articular disease by describing variant forms of PMR that he calls benign synovitis."
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