Abstract | OBJECTIVE: To define the clinical characteristics of gout and determine if there were any genetic associations with gout in black South Africans. METHODS: The records of 107 patients with gout seen over a five year period were retrospectively analysed. The HLA class I and class II antigens were studied in a prospective survey of 46 patients. RESULTS: The male to female ratio was 6.6:1. The diagnosis of gout was based on identification of monosodium urate crystals from the synovial fluid, synovial tissue or tophaceous material in 62 patients (58%) and on clinical criteria in the remaining 45 patients (42%). The mode of presentation was monoarthritis in 40 patients (37.4%), pauciarthritis in 30 (28%) and polyarthritis in 37 (34.6%). The joints which were most frequently involved were the knee in 91 patients (85%), the first metatarsophalangeal in 80 (74.8%) and the ankle in 66 (61.7%). A secondary cause was identified in 52 patients (48.6%) ( diuretic therapy in 48 patients and chronic renal impairment in four); 55 patients (51.4%) had primary gout. The genetic study showed an increased frequency of HLA-B14 in patients with primary gout compared with controls. CONCLUSIONS:
Gout is more common in black Africans than previously recognised and frequently presents with involvement of more than one joint. There was an increased frequency of HLA-B14 in patients with primary gout but the clinical significance of this is uncertain.
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Authors | B Cassim, G M Mody, V K Deenadayalu, M G Hammond |
Journal | Annals of the rheumatic diseases
(Ann Rheum Dis)
Vol. 53
Issue 11
Pg. 759-62
(Nov 1994)
ISSN: 0003-4967 [Print] England |
PMID | 7826138
(Publication Type: Journal Article)
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Chemical References |
- HLA Antigens
- HLA-B Antigens
- HLA-B14 Antigen
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Ankle Joint
(pathology)
- Black People
- Female
- Gout
(etiology, genetics, pathology)
- HLA Antigens
(blood)
- HLA-B Antigens
(blood)
- HLA-B14 Antigen
- Humans
- Knee Joint
(pathology)
- Male
- Metatarsophalangeal Joint
(pathology)
- Middle Aged
- Prospective Studies
- Retrospective Studies
- Sex Factors
- South Africa
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