acute gouty arthritis


Acute Gouty Arthritis

An abrupt gouty attack, which may be precipitated by overeating, alcohol, surgery, emotional stress, infection, antibiotics, insulin.
Clinical findings Crushing pain of a joint—typically of the big toe—which is swollen, hot, shiny.
Management, acute NSAIDs, COX-2 inhibitors, colchicine (side effects include diarrhoea and vomiting, even before pain relief), steroids and ACTH.
Management, chronic Lose weight if BMI > 28; reduce alcohol consumption, allopurinol, periodically check urate levels.

acute gouty arthritis

Acute gout Rheumatology An abrupt gouty attack, which may be precipitated by overeating, alcohol, surgery, emotional stress, infection, antibiotics, insulin Clinical Crushing pain of a joint–most often the great toe–which is swollen, hot, shiny. See Gout, Gouty arthritis.