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Acute Gouty Arthritis (Gout)

Overview

The initial attack of a metabolic disease marked by uric acid deposits in the joints. The disorder causes painful arthritis,especially in the joints of the feet and legs. The incidence is 5 out of 1000 people.


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Causes

Gout is caused by a defect in metabolism that results in an overproduction of uric acid, or a reduced ability of the kidney toeliminate uric acid. The exact cause of the metabolic defect is unknown. The condition may also develop in people with diabetesmellitus, obesity, sickle cell anemia, and kidney disease, or it may follow drug therapy that interferes with uric acid excretion.Gout has four stages: asymptomatic (without symptoms), acute, intercritical, and chronic . In acute gouty arthritis, symptomsdevelop suddenly and usually involve only one or a few joints. The pain frequently starts during the night and is often describedas throbbing, crushing, or excruciating. The joint appears infected with signs of warmth, redness, and tenderness. The attacksof painful joints may subside in several days, but may recur at irregular intervals. Subsequent attacks usually have a longerduration. Some people may progress to chronic gouty arthritis, while others may have no further attacks.Risk is increased in males, postmenopausal women, and people with kidney disease, diabetes mellitus, sickle cell anemia, orobesity.


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Signs & Symptoms

- joint pain- begins suddenly- in one or more joints (hip pain, knee pain, ankle pain, foot pain, shoulder pain, elbow pain, wrist pain, hand pain, or painin other joints)- the great toe, knee, or ankle joint are most often affected- joint swelling of any of the above joints- stiffness of the joint- the joint may be warm and red- fever may be present- skin lump over a joint, may have chalky material draining out of the lump- finger pad abnormalities

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Prevention

The disorder itself may not be preventable, although some precipitating factors may include trauma, alcohol consumption, anddietary purines. Medications may reduce attacks in a person with gout.


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Treatments
Conservative treatment Modern Medicine

Doctors recommends NSAIDS and painkillers to reduce swelling and pain
Daily use of allopurinol is prescribed to decrease uric acid level in blood

Diet and Lifestyle changes Modern Medicine

Dite and lifestyle changes are also advices such as consuming alcohol,legumes,red meat,spinach,cauliflower to avoid attack of gout

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