Clinical manifestations of gout

There are many reasons for the occurrence of gout, introduced here only primary gout: 1, asymptomatic hyperuricemia period: only uric acid sustained or increased volatility. Uric acid increased from time to onset of symptoms can take several years to several decades, not some lifelong symptoms. But with the increase of age, generally the final 5% -12% of hyperuricemia development for gout. 2, acute gouty arthritis: Typical for the first time often attack at night due to sudden illness and foot pain awakened. Pain peak in 24-48 hours, such as knife cuts or Yaoshi-shaped. Joints and surrounding soft tissue swelling apparent heat pain, partial coverage or can not tolerate bedding around vibration. Single early arthritis, to the thumb, big toe Most of second order dorsalis pedis with, knee, wrist, finger, elbow and other joints. Sometimes both at the same time or in succession attack. Joint pain and swelling of limited activity, fever, WBC increased erythrocyte sedimentation rate by fast (easily be misdiagnosed as cellulitis or erysipelas). Usually in the three days or weeks after the natural ease. Local skin joint involvement at this time, there will be scaling and itching disease-specific symptoms. Gout and inflammatory attack began intermittently up to a few months or a few years, but more and more frequently after the attack, the symptoms have become heavier and heavier, more violations of the joint also. Daohan, tiredness, alcohol, food allergies or food to eat high-purine, infection, trauma and surgery is a common incentive. 3, critical of gout: two gout attack intermittent called critical period between gout. Most of the patients is the second attack in six months to two years of. Gradually increase the number of attacks, often untreated patients with multi-joint, multi-joint, the authors involved in about 80% of lower limb joints, but at the same time, involving two-legged rare. In the second period usually asymptomatic, joint inspection also found no abnormalities.