1445_Jacobs.pdf

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1、INFLAMMATORY ARTHRITIS IN THE DIABETIC PATIENTNYEVS 2025POTENTIAL CONFLICTSI HAVE NO CONFLICTS FOR THIS PRESENTATIONBONE AND JOINT DISORDERS IN DIABETES MELLITUSINCREASED FREQUENCY IN DMSUPERIMPOSED CO-MORBIDITIESDISORDERS ASSOCIATED WITH AGEINGDISORDERS ASSOCIATED WITH OBESITYDISORDERS ASSOCIATED W

2、ITH CKD/ESRDASSOCIATED WITH ENDOCRINE DISORDRSMEDICATION EFFECTSBONE AND JOINT DISORDERSCHARCOTS JOINT DISEASEOSTEOMYELITISOSTEOARTHRITISGOUTHYDROXYAPETITE DEPOSITION DISEASEDISH DISEASECPDDLIMITED JOINT MOBILITY(CHEIROARTHROPATHY)METABOLIC BONE DISORDERSOSTEOPOROSISOSTEOMALACIA2 HYPERPARATHYROID DI

3、SEASEINCREASED FRACTURE LIABILITYDELAYED FRACTURE HEALINGVITAMIN D DEFICIENCYCALCIUM DEFICIENCYGOUT IN PATIENTS WITH DIABETESTWO RECENT CASESPRIOR TMA SUB-METATARSAL 1 ULCERATION+PROBE TO BONE MRI:OSTEOMYELITIS OR FINDINGS:GOUTY TOPHICELLULITS 2ND TOE WITH SOFT TISSUE ABSCESS RADIOGRAPHS:EROSIVE CHA

4、NGES 2NDAND 3RDMETATARSAL HEADS ADMITTED FOR SURGERY SOFT TISSUE I+D AT BEDSIDE:OSSA MRI:NO BONE MARROW EDEMA HISTORY OF RA,60 BEERS/WEEKDIABETES AND GOUTINCIDENCE OF GOUT HIGHER IN DM2INCIDENCE OF DM2 HIGHER WITH GOUT AND HYPERURECEMIAAGEINGOBESITYINCREASED INSULIN DECREASES URIC ACID EXCRETIONRENA

5、L DYSFUNCTIONHYPERTENSIONANTI-HYPERTENSIVE MEDICATIONSELEVATED CHOLESTEROLURIC ACID METABOLISMGOUT IN THE TYPE 2 DIABETIC PATIENTINCREASED INCIDENCE IN DIABETESMAY BE“ATYPTICAL”IN OLDER PATIENTSMAY BE PAUCIARTICULARMAY BE RELATED TO COMORBIDITIESOBESITYCKDHYPERTENSIONHYPERURICEMIAINCREASES WITH AGES

6、ATURATION VALUE 7/NOW 6 mg/dl 372.3-17.6 POPULATION13.2%ALL ADULT MENCORRELATIONS:PONDERAL INDEX Cr,BUNHEIGHTAGEALCOHOL INTAKE,BLOOD PRESSUREACUTE GOUTY ARTHRITIS:DM,ULCERATING 2NDTOE HAMMERTOEDIABETES WITH PAIN,EDEMA,ULCERATIONMID-FOREFOOT TOPHIACUTE GOUTHOSPITAL CONSULTATIONHOSPITAL CONSULTATIONOS