Distinguish from acute, chronic gout and gout disease

They all have the word 'gout' but are acute gout, chronic gout, and pseudo-gout the same? Our article will help you answer this question.

Distinguish gout and pseudo-gout

Gout and pseudo-gout are both caused by stagnant salt crystals in joints and connective tissue. These two diseases are often confusing due to very similar clinical manifestations. However, their causes and treatments are completely different.

Gout

Fake gout

Other name

Gout, gout

Calcium disease

Crystal causes arthritis

Needle-shaped urate salt crystals

Calcium pyrophosphate salt crystals dihydrate rhombus

The cause to the illness

Because metabolic disorders are associated with increased production or reduction of uric acid excretion in the body, high levels of uric acid in the blood increase, eventually leading to accumulation and precipitation of urate salts at joints. , cartilage.

Because calcium pyrophosphate dihydrate crystals migrate from cartilage in and around joints to the mucosa of the joints, causing inflammation. Currently, it is not possible to determine exactly why calcium pyrophosphate dihydrate is formed.

Signal

Gout and pseudo-gout have both acute attacks of arthritis and severe pain. However, they also have a number of different clinical signs. With gout:

- Usually on the femoral joints (about 75%), also manifested in the instep, tendon neck, heel, knee, forearm, elbows, .

- Most common in men aged 30 - 40. Women are less likely to get gout than men and often have gout after menopause.

- High-grade gout attacks often at night, suddenly, feels intense pain and swelling in about 12-24 hours.

- Often on the knee and large joints, very rarely seen in the fingers and toes.

- The disease occurs in both men and women, especially those over 65 years old.

- The older you are, the higher your risk of getting gout.

- False gout attacks usually occur slowly, lasting for days and are not as severe as acute gout pain.

Treatment

Colchicine is often used and NSAID analgesics.

Usually use analgesics NSAID and corticosteroids.

Distinguish from acute, chronic gout and gout disease Picture 1

Gout

Distinguish from acute, chronic gout and gout disease Picture 2

False gout usually starts in the knee joint

Distinguish acute gout and chronic gout

Gout is divided into 2 categories: acute gout (or gout level, acute gout) and chronic gout (chronic gout). So what are the differences between these two types of gout?

Gout level

Gout levels often attack patients suddenly in the middle of the night, can spontaneously or after meals high in protein, drink alcohol, beer, . Acute gouty attacks have the following characteristics:

1. Mainly takes place in the lower limbs such as the big toe joints and the knee joints.
2. Severe pain, more painful at night, accompanied by swelling, heat, redness, limited movement of joints.
3. The patient feels tired and may have a fever of 38 - 38.5 degrees C.
4. The arthritis episodes can last 1 to 2 weeks before leaving, leaving no sequelae but easy to relapse.

Distinguish from acute, chronic gout and gout disease Picture 3

Gout level with sudden and intense pain

Chronic gout

After the acute wait of smoking ends, many people believe that the disease has ceased but in fact the urate salt crystals continue to settle. After a long period of time since acute gout episodes take place (probably 10-20 years), gout will develop faster if left untreated and turn to chronic gout. Chronic gout has the following characteristics:

1. The pain occurs gradually and lasts longer than acute gout.
2. The frequency of pain is more dense, the level of pain is more intense.
3. Tophi particles appear in many places on the body, such as the ears, hands, feet, blood vessels and even heart valves.
4. Chronic gout can lead to permanent damage in the joints, deforming cartilage joints.
5. Excess uric acid causes kidney function to decline, leading to kidney failure, .

Distinguish from acute, chronic gout and gout disease Picture 4

Patients with chronic gout appear tophi on the body

Thus, we have jointly distinguished gout and fake gout, chronic gout and gout levels . Hope this article is really helpful to you. Visit META.vn to share many useful knowledge and order quality health care equipment.

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