What symptom of gout is the most common pain of thumb?

summary

Most patients have no obvious symptoms before onset, it can be said that patients have almost no physiological discomfort, this stage is mainly characterized by continuous or fluctuating increase of blood uric acid, the time from the increase of blood uric acid to the appearance of symptoms can be as long as several years to decades, only in the occurrence of arthritis is called gout. Let's share the symptoms of gout.

What symptom of gout is the most common pain of thumb?

Symptom 1: attack stage is the most common first symptom of primary gout, which is more common in lower limb joints, especially in the thumb and the first metatarsophalangeal joint. At the beginning, it was monoarthritis, and the number of affected joints increased with repeated attacks. It often wakes up late at night due to joint pain, and the pain gradually intensifies, reaching the peak in about 12 hours, showing tearing, knife cutting or biting, which is intolerable. The affected joints and surrounding tissues were red, swollen, hot, painful and limited in function.

Symptom 2: gout attack lasts for several days to several weeks, which can be relieved by itself. Generally, there is no obvious sequelae symptoms, or local skin pigmentation, desquamation and itching are left behind. It enters into an asymptomatic intermission period. The so-called intermission period refers to the interval between two attacks of gout, which is generally several months to one year. The affected joints generally develop from lower limbs to upper limbs, from distal small joints to large joints, and involve fingers, wrists, elbows and other joints. A few patients may affect shoulder, hip, sacroiliac, sternoclavicular or spinal joints, and may also involve periarticular bursa, tendons, tendon sheaths and other parts. The symptoms tend to be atypical.

Symptom 3: persistent joint swelling, tenderness, deformity and dysfunction. It is more common in the ear contour, toes, fingers and other places. The symptoms of chronic phase are relatively mild, but there may also be acute attack.

matters needing attention

In this period, 90% of gout patients are accompanied with renal lesions. The early manifestation is sporadic proteinuria. With the aggravation of the disease, it will turn into persistent proteinuria, and the number of nighttime rises will increase. In the future, it will lead to renal insufficiency, and even death due to renal failure. About 20% of gout patients will have acidic urinary stones. If you do not go to a professional hospital in time for treatment, when the stones repeatedly cause damage, it may be combined with infection, causing nephritis, causing further damage to the kidney. An expert in Shanghai said that the damage caused by this disease to human body is quite serious.