Masterclass
Gout
P Perkins, A C Jones
Rheumatology Unit,
City Hospital, Nottingham
Correspondence to: Dr A C Jones, Rheumatology Unit, City Hospital Trust, Hucknall Road, Nottingham NG5 1PB.
Accepted for publication 21 May 1999
| The first 150 words of the full text of this article appear below. |
 |
Polyarthritis in an ill patient |
|---|
THE CASE
A 72 year old man was admitted as an emergency complaining of a
one week history of severe polyarticular joint pain. He had a prior 10 year history of osteoarthritis of his knees. A year earlier he had been
seen by the haematologists with a blood film and bone marrow
examination suggestive of myelodysplasia. There was a history of a
possible gastrointestinal bleed two months before this admission,
possibly relating to a non-steroidal anti-inflammatory drug (NSAID) he
had been taking for his osteoarthritis; this had subsequently been
discontinued. He had mild chronic obstructive pulmonary disease and his
medication on admission was: ranitidine 150 mg twice daily; ferrous
sulphate 200 mg three times a day; quinine sulphate 300 mg at night;
and salbutamol and becotide inhalers. He had been started recently on
unknown antibiotics by his general practitioner for a possible lower
respiratory tract infection. There was no family history of note. He
admitted
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This article has been cited by other articles:
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Swan, A, Amer, H, Dieppe, P
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