Gout

Gout and Pseudogout issues

What is Gout?

Gout is an Inflammatory Arthritis caused by deposition of uric acid crystals in tissues especially in joints.

What are the symptoms of Gout?

Gout typically results in a sudden onset of 1 or 2 red, warm swollen and extraordinarily painful joints. Gout often begins in the toes but can also affect the mid-foot, ankles, or knees as well as hands and wrists. Over time this can lead to stiffness and decreased range of motion. Patients may also have tophi which are collections of uric acid crystals under the skin.

How is Gout diagnosed?

Gout is typically diagnosed based on its characteristic features, but the diagnosis is often supported by elevated uric acid levels or aspiration and visualization of uric acid crystals from an affected joint. Gout also has some characteristic findings on x-rays and other advanced imaging studies.

What treatments are available for Gout?

Although decreasing the intake of food and beverages that can cause elevated uric acid levels can be helpful, Gout is typically managed with medications. These medications typically include nonsteroidal anti-Inflammatory drugs (NSAIDs), corticosteroids, colchicine, allopurinol, Uloric as well as Krystexxa infusions for the most severe cases. Careful selection of these treatments can oftentimes result in the absence of acute symptoms and decrease in the size of tophi.