Gouty Arthritis

Orthopedics

Overview

Definition

Inflammatory arthritis from monosodium urate crystal deposition.

Epidemiology

Varies globally. Often age and lifestyle dependent.

Etiology & Risk Factors

  • Hyperuricemia.

Clinical Symptoms

  • Exquisite joint pain
  • redness
  • swelling (often great toe).

Clinical Approach

Diagnosis

  • Joint aspiration (negatively birefringent needle crystals).

Management

  • NSAIDs
  • Colchicine
  • Allopurinol (preventive).

Complications

  • Tophi
  • joint destruction.