Comments for http://www.drsunkureddi.com/blog Thu, 11 Jun 2009 21:09:48 -0400 http://wordpress.org/?v=2.9.2 hourly 1 Comment on Clinical signs of Gout by Dr Sunkureddi http://www.drsunkureddi.com/blog/index.php/2009/05/clinical-signs-of-gout/comment-page-1/#comment-11 Dr Sunkureddi Thu, 11 Jun 2009 21:09:48 +0000 http://www.drsunkureddi.com/blog/?p=6#comment-11 The goal of urate lowering therapy in gout is to reach serum uric acid level below 6mg/dl. This is the level at which it has been shown that crystallization does not occur and also the incidence of attacks diminishes substantially. I would recommend Uloric for this patient. The goal of urate lowering therapy in gout is to reach serum uric acid level below 6mg/dl. This is the level at which it has been shown that crystallization does not occur and also the incidence of attacks diminishes substantially. I would recommend Uloric for this patient.

]]> Comment on Clinical signs of Gout by barezaza http://www.drsunkureddi.com/blog/index.php/2009/05/clinical-signs-of-gout/comment-page-1/#comment-10 barezaza Thu, 11 Jun 2009 20:36:47 +0000 http://www.drsunkureddi.com/blog/?p=6#comment-10 I have a patient with a crystal-proven diagnosis of gout. She just had a flare-up in the wrist. Her uric acid has been 6.8 or 6.9 the last 3 times it was tested. She has a history of allopurinol sensitivity. What are your thoughts on checking uric acid to monitor therapy when uric acid is already low? I have a patient with a crystal-proven diagnosis of gout. She just had a flare-up in the wrist. Her uric acid has been 6.8 or 6.9 the last 3 times it was tested. She has a history of allopurinol sensitivity. What are your thoughts on checking uric acid to monitor therapy when uric acid is already low?

]]> Comment on Clinical signs of Gout by Dr Sunkureddi http://www.drsunkureddi.com/blog/index.php/2009/05/clinical-signs-of-gout/comment-page-1/#comment-9 Dr Sunkureddi Thu, 28 May 2009 15:05:12 +0000 http://www.drsunkureddi.com/blog/?p=6#comment-9 I don't think Uloric is more effective than Allopurinol, especially if necessary doses of Allopurinol are used. It is good for those with allopurinol sensitivity. Also, if a patient has renal insufficiency and one is concerned about higher doses of allopurinol, then im it is a good option. Because it is new, it will likely be mmore expensive than allopurinol and coverage will d epend on individual plans. Not all patients at the time of an acute gout attack will have elevated serum uric acid levels but in general, everyone with gout has hyperuricemia. I don’t think Uloric is more effective than Allopurinol, especially if necessary doses of Allopurinol are used. It is good for those with allopurinol sensitivity. Also, if a patient has renal insufficiency and one is concerned about higher doses of allopurinol, then im it is a good option. Because it is new, it will likely be mmore expensive than allopurinol and coverage will d epend on individual plans. Not all patients at the time of an acute gout attack will have elevated serum uric acid levels but in general, everyone with gout has hyperuricemia.

]]> Comment on Clinical signs of Gout by stincher http://www.drsunkureddi.com/blog/index.php/2009/05/clinical-signs-of-gout/comment-page-1/#comment-8 stincher Wed, 27 May 2009 01:02:05 +0000 http://www.drsunkureddi.com/blog/?p=6#comment-8 I was interested in your thoughts on Uloric. I know it works by blocking xanthine oxidase--although, not all patients with symptomatic gout have elevated uric acid levels. What percentage of your patients would you think might be able to benefit and afford this medication? I was interested in your thoughts on Uloric. I know it works by blocking xanthine oxidase–although, not all patients with symptomatic gout have elevated uric acid levels. What percentage of your patients would you think might be able to benefit and afford this medication?

]]> Comment on My blog is here. I want to call it “RheumWorld”. by Dr Sunkureddi http://www.drsunkureddi.com/blog/index.php/2009/05/my-blog-is-here-i-want-to-call-it-rheumworld/comment-page-1/#comment-7 Dr Sunkureddi Wed, 13 May 2009 21:55:54 +0000 http://www.drsunkureddi.com/blog/?p=10#comment-7 Doug, I look forward to meeting you as well. Doug,

I look forward to meeting you as well.

]]> Comment on My blog is here. I want to call it “RheumWorld”. by dougdav34 http://www.drsunkureddi.com/blog/index.php/2009/05/my-blog-is-here-i-want-to-call-it-rheumworld/comment-page-1/#comment-6 dougdav34 Wed, 13 May 2009 18:18:00 +0000 http://www.drsunkureddi.com/blog/?p=10#comment-6 My name is Doug and I have my first appointment on May 26. I was diagnosed with Psoriatic Arthritis in 1991. I am looking forward to meeting Dr Sunkureddi and cant wait to start treatment. My name is Doug and I have my first appointment on May 26. I was diagnosed with Psoriatic Arthritis in 1991. I am looking forward to meeting Dr Sunkureddi and cant wait to start treatment.

]]> Comment on My blog is here. I want to call it “RheumWorld”. by Dr Sunkureddi http://www.drsunkureddi.com/blog/index.php/2009/05/my-blog-is-here-i-want-to-call-it-rheumworld/comment-page-1/#comment-5 Dr Sunkureddi Tue, 12 May 2009 07:37:47 +0000 http://www.drsunkureddi.com/blog/?p=10#comment-5 Thanks Tony. Please share your thoughts and ideas and inform the other fellows and faculty as well. I welcome your input. Thanks Tony. Please share your thoughts and ideas and inform the other fellows and faculty as well. I welcome your input.

]]> Comment on My blog is here. I want to call it “RheumWorld”. by jacontre http://www.drsunkureddi.com/blog/index.php/2009/05/my-blog-is-here-i-want-to-call-it-rheumworld/comment-page-1/#comment-4 jacontre Tue, 12 May 2009 03:53:30 +0000 http://www.drsunkureddi.com/blog/?p=10#comment-4 Great job on the blog Dr. Sunkureddi!!! Great idea! Great job on the blog Dr. Sunkureddi!!! Great idea!

]]> Comment on Eosinophilic enteritis associated with systemic lupus erythematosus by Dr Sunkureddi http://www.drsunkureddi.com/blog/index.php/2009/05/eosinophilic-enteritis-associated-with-systemic-lupus-erythematosus/comment-page-1/#comment-3 Dr Sunkureddi Tue, 12 May 2009 00:33:53 +0000 http://www.drsunkureddi.com/blog/?p=8#comment-3 My paper was referenced in May 2009 issue of "Nature Reviews Rheumatology" where there is an excellent review of mesenteric vasculitis and abdominal pain in SLE patients. http://www.nature.com/nrrheum/index.html My paper was referenced in May 2009 issue of “Nature Reviews Rheumatology” where there is an excellent review of mesenteric vasculitis and abdominal pain in SLE patients.

http://www.nature.com/nrrheum/index.html

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