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Diagnostic Arthrocentesis for Suspicion of Gout Is Safe and Well Tolerated. 2016
William J Taylor, and
Jaap Fransen, and
Nicola Dalbeth, and
Tuhina Neogi, and
H Ralph Schumacher, and
Melanie Brown, and
Worawit Louthrenoo, and
Janitzia Vazquez-Mellado, and
Maxim Eliseev, and
Geraldine McCarthy, and
Lisa K Stamp, and
Fernando Perez-Ruiz, and
Francisca Sivera, and
Hang-Korng Ea, and
Martijn Gerritsen, and
Carlo A Scire, and
Lorenzo Cavagna, and
Chingtsai Lin, and
Yin-Yi Chou, and
Anne-Kathrin Tausche, and
Geraldo da Rocha Castelar-Pinheiro, and
Matthijs Janssen, and
Jiunn-Horng Chen, and
Ole Slot, and
Marco Cimmino, and
Till Uhlig, and
Tim L Jansen
From the University of Otago, Wellington; University of Auckland, Auckland; Department of Medicine, University of Otago Christchurch, Christchurch, New Zealand; Radboud University Medical Centre, Nijmegen; Amsterdam Rheumatology Immunology Center (ARC), Department of Rheumatology, Westfries Gasthuis, Hoorn; Rijnstate Hospital, Arnhem, the Netherlands; Boston University School of Medicine, Boston, Massachusetts; University of Pennsylvania, Philadelphia, Pennsylvania, USA; Division of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand; Servicio de ReumatologÃa, Hospital General de México, México City, México; Nasonova Research Institute of Rheumatology of Russia, Moscow, Russia; School of Medicine and Medical Science, University College Dublin; Mater Misericordiae University Hospital, Dublin, Ireland; Rheumatology Division, Hospital Universitario Cruces and BioCruces Health Research Institute, Vizcaya; Department Reumatologia, Hospital General Universitario de Elda, Alicante, Spain; Université Paris Diderot, Sorbonne Paris Cité, UFR de Médecine; Institut national de la santé et de la recherche médicale (INSERM), UMR 1132, Hôpital Lariboisière; Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpital Lariboisière, Service de Rhumatologie, Centre Viggo Petersen, Pôle Appareil Locomoteur, Paris, France; Epidemiology Unit, Italian Society for Rheumatology (SIR), Milan; Division of Rheumatology, University and IRCCS Policlinico S. Matteo Foundation, Pavia; Research Laboratory and Academic Division of Clinical Rheumatology, Department of Internal Medicine, University of Genoa, Genoa, Italy; Division of Rheumatology and Immunology, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation; Taichung Veterans' General Hospital; School of Medicine, China Medical University; Department of Internal Medicine, China Medical University Hospital, Taichung, Taiwan; Division of Rheumatology, Department of In
OBJECTIVE To determine the frequency of adverse events of diagnostic arthrocentesis in patients with possible gout. METHODS Consecutive patients underwent arthrocentesis and were evaluated at 6 weeks to determine adverse events. The 95% CI were obtained by bootstrapping. RESULTS Arthrocentesis was performed in 910 patients, and 887 (97.5%) were evaluated for adverse events. Any adverse event was observed in 12 participants (1.4%, 95% CI 0.6-2.1). There was 1 case (0.1%, 95% CI 0-0.34) of septic arthritis. CONCLUSIONS Diagnostic arthrocentesis is associated with a low frequency of adverse events. Septic arthritis rarely occurs.
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