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Dtsch. Med. Wochenschr. · Apr 2021
[Diagnostic approach and differential diagnosis of mon- and oligoarthritis].
- Anna Kernder and Philipp Sewerin.
- Dtsch. Med. Wochenschr. 2021 Apr 1; 146 (9): 591-597.
AbstractReasons of mon- and oligoarthritis are heterogeneous. The diagnostic approach includes a detailed medical anamnesis, physical examination and imaging (conventional X-ray, sonography, MRI and, CT). Analysis of the synovial fluid is required in suspected septic arthritis and frequently helps in diagnosis and differential diagnosis of crystal arthropathies. Dual-energy-CT (DECT) detects sodium urate crystals and can replace joint puncture in some cases. In addition to crystal arthropathies and septic arthritis, differential diagnosis of mon-/oligoarthritis includes reactive arthritis, arthrosis and monarthritic courses of SpA/PsA. A rheumatologist should be consulted particularly in the case of persistent monarthritides, in order to initiate a specific therapy to prevent secondary damage.Thieme. All rights reserved.
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