{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T10:23:13Z","timestamp":1761128593281},"reference-count":0,"publisher":"Hogrefe Publishing Group","issue":"34","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Praxis"],"published-print":{"date-parts":[[2007,8,1]]},"abstract":"<jats:p> Dans la phase aigu\u00eb la goutte touche le plus souvent l'hallux, plus rarement le m\u00e9diotarse ou le tendon d'Achille. Le diagnostic de certitude repose sur la mise en \u00e9vidence de cristaux typiques. Le traitement de la crise aigu\u00eb ou subaigu\u00eb avec la colchicine est une bonne alternative aux AINS s'il n'y a pas d'insuffisance r\u00e9nale. Le traitement hypo-uric\u00e9miant (allopurinol ou agents uricosuriques) est \u00e0 commencer \u00e0 distance d'une crise aigu\u00eb, car il comporte le risque d'une exacerbation de l'inflammation. Le losartan et le f\u00e9nofibrate ont une action uricosurique. L'h\u00e9mochromatose se manifeste principalement sous forme d'une atteinte chondrocalcinosique, en particulier au talon. L'enth\u00e9sopathie hyperostosante diffuse peut causer une talalgie s\u00e9v\u00e8re par une ossification \u00e0 l'insertion de la fascia plantaire ou du tendon calcan\u00e9en. L'hypercholest\u00e9rol\u00e9mie peut se manifester par des xanthomes des tendons d'Achille \u00e0 localisation bilat\u00e9rale. Un rhumatisme apatitique peut survenir chez les patients en h\u00e9modialyse chronique. <\/jats:p>","DOI":"10.1024\/1661-8157.96.34.1251","type":"journal-article","created":{"date-parts":[[2007,8,22]],"date-time":"2007-08-22T02:30:13Z","timestamp":1187749813000},"page":"1251-1256","source":"Crossref","is-referenced-by-count":4,"title":["Atteintes du pied dans les maladies metaboliques"],"prefix":"10.1024","volume":"96","author":[{"family":"Gerster","sequence":"first","affiliation":[{"name":"Service de rhumatologie, M\u00e9decine physique et r\u00e9habilitation, CHUV, Lausanne"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"101","container-title":["Praxis"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/econtent.hogrefe.com\/doi\/pdf\/10.1024\/1661-8157.96.34.1251","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,8]],"date-time":"2022-05-08T10:00:19Z","timestamp":1652004019000},"score":1,"resource":{"primary":{"URL":"https:\/\/econtent.hogrefe.com\/doi\/10.1024\/1661-8157.96.34.1251"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,8,1]]},"references-count":0,"journal-issue":{"issue":"34","published-print":{"date-parts":[[2007,8,1]]}},"alternative-id":["10.1024\/1661-8157.96.34.1251"],"URL":"https:\/\/doi.org\/10.1024\/1661-8157.96.34.1251","relation":{},"ISSN":["1661-8157","1661-8165"],"issn-type":[{"value":"1661-8157","type":"print"},{"value":"1661-8165","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,8,1]]}}}