Coexistence of gout and rheumatoid arthritis in Nairobi, Kenya
View/ Open
Date
2018Author
Oyoo, GO
Genga, EK
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
Background: There is a widespread
belief that gout and RA rarely coexist in
the same patient. Given that there is an
excess burden of cardiovascular disease
in patients with RA, this is compounded
by hyperuricemia. The purpose of this
study was to describe the clinical profi les
of patients with coexistent gout and
rheumatoid arthritis.
Methodology: This was a retrospective
study to be carried out at the Nairobi
Arthritis Clinic. The sample population
comprised of all medical records of
patients with RA and gout. The fi les were
retrospectively reviewed from January
2009 to December 2017.
Results: The cohort included 13 patients
with the diagnosis of rheumatoid arthritis
and gout seen at the clinic between January
2009 and December 2017. Majority of the
study participants were male (9/13) with a
mean age of 60.8 years. The mean age of
diagnosis of rheumatoid arthritis and gout
was 55.25 years and 63 years respectively.
The participants were obese with a mean
of 31.4. Majority tested positive (10/13)
for either or both rheumatoid factor and
anti-citrulated peptide antibody. Urate
acid crystals were identifi ed in 10 of the
13 participants. All the participants had
used glucocorticoids with a further 4 on
diuretics which were later stopped.
Conclusions: Coexistence of rheumatoid
arthritis and gout is still rare in Kenya.
Being male and obese having either
rheumatoid arthritis or gout increasing
the chance of developing both diagnoses.
A large number had tophi thus in patients
with tophaceous gout not improving on
standard therapy an alternative diagnosis
could be rheumatoid arthritis.
URI
http://aflar.net/wp-content/uploads/2018/01/AJR_6_2018_January.pdf#page=16http://erepository.uonbi.ac.ke/handle/11295/107117
Citation
Oyoo, G. O., and E. K. Genga. "Coexistence of gout and rheumatoid arthritis in Nairobi, Kenya." African Journal of Rheumatology 6.1 (2018): 12-14.Publisher
University of Nairobi
Rights
Attribution-NonCommercial-NoDerivs 3.0 United StatesUsage Rights
http://creativecommons.org/licenses/by-nc-nd/3.0/us/Collections
- Faculty of Health Sciences (FHS) [10385]
The following license files are associated with this item: