Clinical and etiopathogenic similarities have led to the inclusion of some neuropathies due to entrapment, such as carpal tunnel syndrome and axillary nerve neuropathy. The same applies to certain vascular processes such as thoracic operculum syndrome and chronic compartment syndromes. Epidemiological impact and the socioeconomic consequences of soft tissue rheumatisms are significant and their prevalence is estimated to vary between 3 and 15% as shown on Natural Wellness Blogs.
An important consequence of the lack of interest in these syndromes is the variety of collective names used to designate them: soft tissue rheumatisms, soft tissue rheumatism, extra-articular rheumatism, regional rheumatism, regional pain syndromes, tendinitis-bursitis syndromes, regional syndromes and periarthritis, among others.
All of them present conceptual or content errors that have an impact not only on their etiopathogenic conception, but also on the design of preventive measures and their therapeutic approach. The usual therapeutic sequence in soft tissue rheumatism initially includes the suppression or modification of the causal factors , the use of anti-inflammatories and physiotherapy, and in cases that do not respond to these therapies, local injection with glucocorticoids or surgery.
Acropathies
Gout in the elderly has a high prevalence, due to the longer duration of hyperuricemia, associated diseases such as hypertension, obesity, dyslipidemia, the use of medications to treat them as diuretics and acetylsalicylic acid. It affects more men but with a slight increase in incidence in women after 65 years.
The presentation is atypical in most cases and the diagnosis goes unnoticed or is established erroneously. In women of 60 years, the presentation of gout can be polyarticular, slow-onset, subacute, and compromised by the interphalangeal joints of the hands, leading to confusion with rheumatoid arthritis or exacerbation of a degenerative process as shown on Natural Wellness Blogs.
The careful examination of synovial fluid and the identification of monosodium urate crystals are essential for diagnosis. The asymmetric polyarticular pattern with seizures in some joints, the characteristic radiological findings, hyperuricemia, negative rheumatoid factor titers or positive low titers, guide the diagnosis of gout in the elderly.
Secondary causes of hyperuricemia should be ruled out, such as myeloproliferative disease, lymphoproliferative disease, renal failure, arterial hypertension, alcoholism.64 The management of gout requires, first of all, adopting healthy lifestyles, fundamentally related to an adequate diet. However, in many cases this measure is insufficient and pharmacological therapy is essential, which includes colchicine and anti-inflammatories, which are equally effective, but with a different safety profile.
It should be remembered that hyperuricemia should not be treated. Asymptomatic. Chondrocalcinosis, a disease due to deposits of calcium pyrophosphate, there is no alteration in calcium metabolism, so no special diet is necessary.
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