Gout is a condition that results in painful inflammation caused by microscopic uric acids crystals forming in the joints. These crystals can sometimes form incalculable accumulations which can be felt as -tophi- or are deposited in your kidneys, causing nephritic pain or altering their function.
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It can usually be avoided with the right treatment. To reduce the amount of uric acid in the body, it is important to eat a low-purine diet (mainly seafood, red meat, and asparagus) and to take medication allopurinol and febuxostat.
What are the Signs and Symptoms of Gout?
This is one cause of acute arthritis. It manifests as sudden episodes (“attacks”) that cause intense pain and swelling in a joint. Without treatment, the acute episode can last several days.
These episodes are more likely to occur again and can affect any joint in subsequent attacks. It is most common to affect the first metatarsophalangeal foot joint, but it can also affect other feet joints and the ankles.
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Sometimes, the synovial bursae and tendons can become inflamed. This could lead to bursitis or Tenosynovitis. The disease can progress and affect multiple joints, severely limiting quality of life.
In advanced stages of disease, there may be palpable accumulations in the form hard nodules (called tophi). Sometimes, crystals of uric acid are found in the kidneys and can cause episodes of nephritic collic.
What causes Gout?
Normal conditions mean that the amount of urine and feces that are eliminated from the body is equal to the amount that is absorbed through diet.
The body produces more uric acids than it ingests. This causes a rise in blood levels and crystal formation in the joints.
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Gout can affect Anyone
It’s four times more common in men than it is in women. It can happen from adolescence through senile years, but it prefers to affect men between 35-50 years old and women over 50.
The main risk factor for male sex is high blood levels of uric acid. The higher the levels, and the greater the chance, there are other factors.
Other risk factors include obesity, high blood pressure and taking certain drugs.
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How can Gout be diagnosed?
Gout diagnosis is generally based on symptoms and signs, as well as the determination of blood uric acid.
Hyperuricemia refers to a high uric acid level greater than 7 mg/dl.
Sometimes, it is necessary for fluid to be taken from affected joints to confirm diagnosis.
A differential diagnosis with other rheumatologic diseases such as chondrocalcinosis, spondyloarthropathies, psoriatic arthritis, etc. It is important to make this diagnosis.
Gout can appear in the big toe: Gout Big Toe