Gout is a kind of arthritis that occurs when uric acid builds up in blood and causes joint inflammation.Acute gout is a painful condition that typically affects one joint.
Chronic gout is repeated episodes of pain and inflammation, which may involve more than one joint.
Gouty arthritis - acute; Gout - acute; Hyperuricemia; Tophaceous gout; To phi;Podagra; Gout - chronic; Chronic gout; Acute gout; Acute gouty arthritis
CAUSES, INCIDENCE AND RISK FACTORS
Gout is caused by having higher-than-normal levels of uric acid in your body. This may occur if
Your body makes too much uric acid
Your body has a hard time getting rid of uric acid
If too much uric acid builds up in the fluid around the joints (synovial fluid), uric acid crystals form. These crystals cause the joint to swell up and become inflamed.
According to Dr. S.K PATHAK GOUT is 100% neurological problem. Gout may run in families. It is more common in men, in women after menopause, and those who drink alcohol. People who take certain medicines, such as hydrochlorothiazide and other water pills, may have higher levels of uric acid in the blood.
THE CONDITION MAY ALSO DEVELOP IN PEOPLE WITH:
Sickle cell anemia and other anemia’s
Leukemia and other blood cancers
The condition may occur after taking medicines that interfere with the removal of uric acid from the body.
Symptoms of acute gout:
Symptoms usually involve only one or a few joints. The big toe, knee, or ankle joints are most often affected.
The pain starts suddenly, often during the night and is often described as throbbing, crushing, or excruciating.
The joint appears warm and red. It is usually very tender (it hurts to lay as heat or blanket over it).
There may be a fever.
The attack may go away in a few days, but may return from time to time.Additional attacks often last longer.
After a first gouty attack, people will have no symptoms. Half of patients have another attack.
Some people may develop chronic gout. Those with chronic arthritis develop joint damage and loss of motion in the joints. They will have joint pain and other symptoms most of the time.
Tophi are lumps below the skin around joints or in other places. They may drain-chalky material. Tophi usually develop only after a patient has had the disease for many years.
SIGNS AND TESTS:
Tests that may be done include:
Synovial fluid analysis (shows uric acid crystals)
Uric acid - blood
Joint x-rays (may be normal)
Uric acid - urine
Not everyone with high uric acid levels in the blood has gout.
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