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Monoarthritis

Monoarthritis, or monoarticular arthritis, is inflammation (arthritis) of one joint at a time. It is usually caused by trauma, infection, or crystalline arthritis.

Causes
Septic arthritis Septic arthritis is an inflammatory response to an infection (usually bacterial) in the joint. Usually impacting large joints like the hip or the knee, it is a medical emergency with a mortality rate of about 10%. It is treated with oral and intravenous antibiotics as well as joint drainage. Gout Gout is inflammation caused by the deposition of needle-shaped monosodium urate crystals in the joints. It is the most common type of inflammatory arthritis in the United States. The disease typically affects a single joint in earlier stages but can progress into polyarthritis over time. It usually occurs in cooler areas of the body, often starting in the big toe. Pseudogout Pseudogout (also referred to as calcium pyrophosphate dihydrate crystal deposition disease) is another type of crystalline arthritis that presents very similarly to gout but is caused by the deposition of rhomboid-shaped calcium pyrophosphate dihydrate (CPPD) crystals. The knees, wrists, and fingers are the most common joints affected by pseudogout. ==Diagnosis==
Diagnosis
X-rays, MRI scans, and other types of imaging can show bone loss and erosion from degenerative arthritis or later stages of inflammatory arthritis. Laboratory testing, specifically microscopic synovial fluid examination, is a more accurate method of diagnosing arthritis. By performing a joint aspiration, physicians can check cell counts and look for signs of infection (bacteria/fungus) or crystal formation to determine which, if any, type of arthritis is present. ==Treatment==
Treatment
Monoarthritis is treated the same way as other forms of arthritis. Minimizing pain, preventing disease progression, and improving joint function are the goals of arthritis treatment. Treatment can vary depending on the cause and severity of the condition. Physical therapy, acupuncture, and anti-inflammatory drugs are commonly used to treat the disease. In more severe cases, intra-articular corticosteroid injections or surgical joint replacement may be necessary. Joint drainage and antibiotics are used to treat septic arthritis. Medications that decrease uric acid can mitigate chronic gout symptoms. ==See also==
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