Gout , 통풍

목차

1. Definition
2. Acute Arthritis
3. Chronic Arthritis
4. Laboratory Diagnosis
5. Urate crystal from a tophus
6. Calcium pyrophosphate dihydrate(CPPD)
7. Radiographic Features
8. Treatment

본문내용

Definition Episodic acute and chronic arthritis Middle-aged to elderly men and postmenopausal women I ncreased body pool of urate with hyperuricemia ( 8mg/ dL ) A cute and chronic arthritis caused by deposition of MSU crystals in joints and connective tissue tophi The risk for deposition in kidney interstitium or uric acid nephrolithiasis
Definition Metabolic disease
Acute Arthritis Acute arthritis is the most common early clinical manifestation of gout. Usually, only one joint - M etatarsophalangeal joint of the first toe -Tarsal joints, ankles, and knees also common E lderly patients or in advanced disease - Finger joints may be involved. Inflamed Heberden's or Bouchard's nodes may be a first manifestation of gouty arthritis. B egins at night with dramatic joint pain and swelling - Joints rapidly become warm, red, and tender with a clinical appearance that often mimics that of cellulitis

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