Gout is a chronic rheumatic disease generally seen in men over 50 years and is characterised by acute monoarthritis
beginning from the first metatarsophalangeal joint.
Approximately 5 h after the first injection of Genvisc[R] (sodium hyaluronate+N-acetyl glucosamine, Phibio GmbH; Frankfurt, Germany), the patient presented with acute monoarthritis
Immunoselected STRO-3+ mesenchymal precursor cells reduce inflammation and improve clinical outcomes in a large animal model of monoarthritis
," Stem Cell Research & Therapy, (2017) 8:22, 7 February 2017
A patient with psoriatic monoarthritis
may progress to polyarthritis or mutilating arthritis if neglected and early immunosuppressant or biological therapy is not instituted.
A prospective diagnostic study in 328 family medicine patients (74% male; mean age 57) with monoarthritis
tested the ability of multiple clinical variables to diagnose gout using monosodium urate crystals in synovial fluid as the gold standard.
Calotropis procera latex extract affords protection against inflammation and oxidative stress in Freund's complete adjuvant-induced monoarthritis
In the investigators' practice, we feel that cases of monoarthritis
that are refractory to medical therapy warrant consideration for therapeutic arthroscopic debridement, although further investigation as to its efficacy is certainly warranted.
The second most frequent manifestation of the disease is arthritis which mostly presents as a monoarthritis
of the hip or knee.
In addition, aseptic monoarthritis
and polyarthralgia are used as major criteria in addition to migratory arthritis and monoarhtralgia is used as a minor criterion among joint findings.
Streptobacillus moniliformis septic monoarthritis
is described, in some cases requiring surgical debridement [19, 20].
Arthritis is a very common finding in FMF, typically nonmigratory monoarthritis
localized in the joints of lower extremities, without any sequelae.
Chronic manifestations may include monoarthritis
, undifferentiated polyarthritis, joint involvement simulating rheumatoid arthritis (including fulfillment of American Academy of Rheumatology criteria, positive rheumatoid factor and characteristic erosions in the X-ray), tenosynovitis/enthesopathy, seronegative spondyloarthritis and/or back pain.