Acute gouty arthritis
    
Share |
 
  

Diseasereference.net - Comprehensive articles covering over 1,700 topics. The articles are organized by the disease, condition overview, symptoms, treatment, and prevention.


Drugs search, click the first letter of a drug name:
A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | 1 | 2 | 3 | 4 | 5 | 6 | 8 | 9

Terms search, click the first letter of a term name:
A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z

Online medical services

Medical dictionary Med-Terms.net is a searchable dictionary of medical terms from medicine and related fields. Search for medical terms with our medical dictionary.

Drugs & Medications Search our drug database for comprehensive prescription and patient information on 24,000 drugs online. Drugspedia.net - The Internet Drug Index for prescription drugs and medications.

PMS blog Premenstrual syndrome (PMS), PMS headache


Blue waffles disease, blog. Blue waffle infection, blue waffle disease pictures.

  

 

Disease Reference

Click on the first letter in the disease name:

| 4 | 5 | A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z



     

Acute gouty arthritis

Definition

Acute gouty arthritis is a sudden attack of pain in the joints, especially in the feet and legs, that occur when uric acid builds up in the joints.

See also: Chronic gouty arthritis

Alternative Names

Gouty arthritis - acute; Gout - acute

Causes

Gout is caused by an overproduction of uric acid or a reduced ability of the kidney to get rid of uric acid. The exact cause is unknown. It is more common in males, postmenopausal women, and people who drink alcohol.

The condition may also develop in people with:

The condition may occur after taking medicines that interfere with uric acid excretion.

Gout has 4 stages:

  • Asymptomatic
  • Acute
  • Intercritical
  • Chronic

This article discusses acute gouty arthritis only.

Symptoms

Symptoms develop suddenly and usually involve only one or a few joints. The big toe, knee, or ankle joints are most often affected.

The pain frequently starts during the night and is often described as throbbing, crushing, or excruciating. The joint appears infected with signs of warmth, redness, and tenderness.

The attacks of painful joints may go away in several days, but may return from time to time. Additional attacks usually last long. Some people may progress to chronic gouty arthritis, while others may have no further attacks.

Specific symptoms include:

  • Fever (sometimes)
  • Joint pain
  • Joint swelling of the affected joints
  • Join stiffness
  • Joint redness
  • Skin lump which may drain chalky material

Exams and Tests

Tests that may be done include:

  • Blood differential
  • Joint x-rays (may be normal)
  • Synovial biopsy
  • Synovial fluid analysis (shows uric acid crystals)
  • Uric acid- blood
  • Uric acid - urine

Treatment

A prescription medicine called colchicine helps reduce pain, swelling, and inflammation associated with acute gout attacks. The medication decreases the inflammation caused by uric acid crystals within the joint. It does not decrease the uric acid levels in the bloodstream.

The pain often goes away within 12 hours of starting treatment, and is completely relieved in 48 hours. Daily use of colchicine or allopurinol helps prevent future attacks.

Your doctor may also recommend that you take non-steroidal anti-inflammatory drugs (NSAIDs) as soon as symptoms start to relieve pain and inflammation. Strong painkillers such as codeine may occasionally be prescribed.

Corticosteroids can also be very effective. Your doctor may inject the inflamed joint with steroids to relieve the pain.

Drinking more fluids helps prevents the formation of kidney stones.

Sometimes, a diet low in purines is prescribed. Organ meats, beer, wine, and certain types of fish contain high levels of purines.

Outlook (Prognosis)

Proper treatment of acute attacks allows people to live a normal life. However, the acute form of the disease may progress to chronic gout.

Possible Complications

  • Side effects of medications
  • Chronic gouty arthritis
  • Kidney stones
  • Kidney dysfunction

When to Contact a Medical Professional

Call for an appointment with your health care provider if you have symptoms of acute gouty arthritis.

Prevention

The disorder itself may not be preventable, but you may be avoid to avoid things that trigger your symptoms. Limit alcohol consumption and follow a low-purine diet.

Email to a Friend


Your Name:

Friend's Email:



More about Acute gouty arthritis - Drugs.com
   Acute gouty arthritis
Abacterial cystitis
Asthma - occupational exposure
Astrocytoma - children
Acute interstitial (allergic) nephritis
Acute bladder infection
Amphetamine or sympathomimetic intoxication
Ancylostoma braziliense
Adenocarcinoma of the endometrium/uterus
Aspergilloma



 
  
Medical dictionary | Natural mosquito repellents | Dust mites pictures | Prescription Drug Information | new 401k rules | Hyperkeratosis pilaris treatment
© Copyright by Diseasereference.net 2006-2007. All rights reserved