Unusual Clinical Presentations of Gout

Tony C. Ning; Robert T. Keenan


Curr Opin Rheumatol. 2010;22(2):181 

In This Article

Gout in the Elderly

The elderly, as defined as over the age of 65, differ in their clinical presentation. Gout in the elderly tends more to be associated with the following characteristics: polyarticular involvement, upper extremity involvement, as well as a more indolent course.[20] The elderly develop more tophi, and it may at times be the first manifestation of the disease in this age group.[21] Also, the sex distribution with gout manifestations is more even. In addition, acute painful attacks do not occur as frequently in this patient population and several cases of tophaceous gout have been found incidentally.


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