Similar to gout?

summary

There is a "gold standard" for the diagnosis of gout. As long as we find the presence of urate crystals in joint synovial fluid or stone tissue, we can identify gout. But in life, once we have some symptoms, it may be gout. Similar to gout? Next, I'd like to share my views with you.

Similar to gout?

Although the pain of this joint is similar to the acute onset of gout, his pain is mainly concentrated in the shoulder, elbow and ankle joint. And this kind of acute rheumatoid arthritis is more common in teenagers, and there is a history of hemolytic streptococcus infection such as pharyngitis and tonsillitis in 1 to 4 weeks before onset.

And acute rheumatoid arthritis has characteristic symptoms (myocarditis, subcutaneous lumps and other symptoms). The most important identification point is that the uric acid content in the blood test is not high. Although the symptoms are similar, it's a good way to distinguish gout from acute attack.

Pseudogout is also caused by the deposition of metabolites in articular cartilage. But it is different from acute attack of gout: firstly, it is more common in the elderly. The lesions mainly invade the knee, shoulder, hip (we often say across) and other large joints, and the serum uric acid content is normal.

matters needing attention

When a patient with high uric acid, gout stones appear and disappear repeatedly. First of all, we should reduce the intake of purine diet from our daily life. Secondly, timely treatment should be made to reduce the impact of repeated attacks of gout on our body.