What are the symptoms of gout?

summary

Gout is a kind of recurrent inflammatory disease caused by increased purine biosynthesis, excessive production of uric acid or poor excretion of uric acid resulting in increased uric acid in the blood and deposition of urate crystals in synovium, bursa, cartilage and other tissues. The disease is characterized by the presence of birefringent crystals of sodium urate monohydrate in synovial fluid and gout stone. What are the symptoms of gout? Let's talk about it

What are the symptoms of gout?

Acute gouty arthritis can be induced without any aura, mild trauma, overeating high purine food or excessive drinking, surgery, fatigue, emotional tension, medical emergencies (such as infection, vascular obstruction). Acute single joint or multi joint pain, which often occurs at night, is usually the first symptom,

The symptoms are similar to acute infection, with swelling, local fever, red and obvious tenderness. The skin is tense, hot, glossy, dark red or purplish red in appearance. The metatarsophalangeal joint of the big toe is most commonly involved (foot gout). The arch, ankle joint, knee joint, wrist joint and elbow joint are also common parts of the disease, Systemic manifestations include fever, palpitations, chills, discomfort and leukocytosis.

The first few attacks usually involve only one joint and last only a few days, but later they can invade multiple joints simultaneously or successively. If they are not treated for several weeks, the local symptoms and signs will subside and the joint function will recover. The length of asymptomatic interval varies greatly. With the progress of the disease, it becomes shorter and shorter. If we do not prevent it, it will attack several times a year, In a few cases, sacroiliac, sternoclavicular or cervical joints may also be involved,

matters needing attention

Gout patients have purine metabolism disorder and abnormal uric acid. If they eat too much acidic food, it will aggravate the disease and is not conducive to rehabilitation. Eating more alkaline food can help supplement potassium, sodium and chloride ions and maintain acid-base balance.