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Gout: HELP
Articles by Ernest Suresh
Based on 2 articles published since 2010
(Why 2 articles?)

Between 2010 and 2020, E. Suresh wrote the following 2 articles about Gout.
+ Citations + Abstracts
1 Review Recent advances in management of gout. 2012

Suresh, E / Das, P. ·Rheumatology Department, Kettering General Hospital, Rothwell Road, Kettering, NN16 8UZ, UK. dr_esuresh@hotmail.com ·QJM · Pubmed #22198943.

ABSTRACT: Incidence and prevalence of gout have markedly increased over the last few decades in keeping with the rise in prevalence of obesity and metabolic syndrome. Until recently, management of gout in patients with associated metabolic syndrome and comorbid illnesses such as renal impairment was difficult because of limited treatment options. However, significant progress has been made in the last few years, with introduction of new treatments such as interleukin-1 antagonists for management of acute gout, and febuxostat and pegloticase for chronic gout. The association of gout with alcohol, dietary purines and fructose ingestion has been confirmed in large prospective studies, thus enabling the clinician to now provide evidence-based advice to patients. Recent efficacy and safety data favour lower over higher doses of colchicine, and oral corticosteroids over non-steroidal anti-inflammatory drugs for patients with acute gout. Local ice therapy might help to differentiate gout from other forms of inflammatory arthritis, and supplementation with vitamin C help to reduce risk of gout. Several other drugs with rational mechanisms of action are in the pipeline, and likely to be introduced over the next few years. A new era has thus begun in the field of gout.

2 Article Problem based review: The patient with acute monoarthritis. 2013

Suresh, Ernest. ·Department of Medicine Alexandra Hospital, Jurong Health, 378 Alexandra Road, Singapore 159964. dr_esuresh@hotmail.com ·Acute Med · Pubmed #23732137.

ABSTRACT: Acute monoarthritis is a common medical emergency with wide differential diagnosis. Common underlying causes include trauma, septic arthritis, crystal induced arthritis (gout and pseudogout), and reactive arthritis. Of these, septic arthritis is the diagnosis not to miss because of its association with significant morbidity and mortality. Precise diagnosis of the underlying cause of monoarthritis relies on a good history, physical examination findings, and results of focussed investigations. In this article, a practical approach to diagnosis and initial management of patients presenting with acute monoarthritis is described with the aid of a case vignette.