I seem to have gout, but the doctor is not sure, what are the symptoms similar to gout?

Gout is not a disease that is difficult to see in our daily lives. Because of its common and popular symptoms, it is easy to mix with other diseases. Let's take a look at some of the diseases that can be confused with gout.

1.Rheumatoid arthritis.

It is more common in young and middle-aged women, and is more likely to occur in the facet joints of the fingers and joints such as wrists, knees, ankles, sacroiliac and spine, and is manifested as migratory and symmetrical arthritis, with low blood uric acid, positive rheumatoid factor, and X-ray showing rough articular surface, narrowing of joint space, and even articular surface fusion, which is obviously different from bone defects caused by gout.

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Ad. 2.Pseudogout.

It is caused by articular cartilage calcification, which is more common in the elderly, and the knee joint is most likely to be involved, and the symptoms are similar to gout during acute attacks, but the blood uric acid is not high, and the joint bursal fluid examination contains calcium pyrophosphate crystals or apatite, and X-ray shows cartilage calcification.

3.Septic arthritis and traumatic arthritis.

The blood uric acid is not high, and the bursal fluid of septic arthritis contains a large number of white blood cells, and pathogenic bacteria can be obtained by culture; Traumatic arthritis is often differentiated by a history of more severe injury.

4.Cellulitis.

If you ignore the symptoms of the joint itself, it is easy to mistake it for cellulitis, which is not high in blood uric acid, and the systemic symptoms such as chills, fever and leukocyte elevation are more prominent, and the joint pain is often not obvious.

5.Other. The acute phase should be distinguished from lupus erythematosus, ** arthritis, and psoriatic arthritis. The chronic phase should be distinguished from the sequelae of hypertrophic arthropathy, traumatic arthritis, and septic arthritis. A blood uric acid test can help make the diagnosis.

The disease that is easy to be confused with gout is mentioned above, but in fact, it is not so difficult for gout. As long as everyone can find out the disease in time and do it right, everything will be fine.

Gout symptoms are similar to the illness with this.

Similar to gout, there are rheumatoid and ankylosing spondylitis, and these two early symptoms are joint pain from time to time.

If the doctor doesn't recognize it, if you think it's a disease, you can treat it for a while and try it, and if it's not right, then find another way to live in a better hospital to confirm.

You seem to have gout, and the doctor is not sure, so you have to go to a better hospital for examination, can you confirm the diagnosis?

In this case, you only need to check a uric acid to know, if the uric acid is high, then the possibility of gout is very high.

The main biochemical basis of gout is hyperuricemia. It's genetic. It is more common in middle-aged men.

Mild fatigue, general malaise, tingling in the joints. In severe cases, the joint aches and awakens, and the pain gradually worsens. There is a knife like tears that is unbearable.

The joints and surrounding tissues are red, warm, painful, and functionally limited. Pay attention to your diet and eat less foods high in offal. Drink plenty of water, eat baking soda, alkalize urine, and prevent tubular crystallization.

Gout is related to increased blood uric acid, generally joint pain, which should pay attention to control the diet, eat less meat, especially some animal visceral tissues, avoid eating seafood, and do not drink alcohol. The initial symptoms of gout are mainly acute gouty arthritisAcute gouty arthritis, there are no symptoms before the onset of gout, usually mild trauma, overeating, high-purine diet or excessive drinking, which will cause these symptoms. In an acute gout attack, the affected joints are severely painful, swollen, erythematous, and feverish, and the symptoms occur suddenly; Attacks usually last from a few days to a week, and are usually unprovoked, but can be triggered by mild trauma or after the use of purine-rich foods.

Recently, Dr. Wang discovered a very interesting phenomenon: more and more patients suspect that they have gout!

Some patients have wrist pain and ask me if I have gout? Some patients walk too much and have foot pain and ask me if I have gout? There are also patients who have deformed toes and ask me if I have gout?

Some patients even have just fallen and asked me if I have gout. In fact, gout has obvious characteristics and ways to judge it.

The characteristics of gout are as follows:

Studies have shown that the onset of gout is unilateral, whether it is on the hands or feet, and even if there are gout stones on both sides, each acute attack is unilateral. In other words, some people have sudden pain in the hands and feet, if it is both sides and the symptoms are the same on both sides, then gout can be ruled out.

In this case, it is necessary to consider whether it is a bilateral disease such as rheumatoid arthritis.

Gout is a sudden attack, usually in the early hours of the morning to wake up in pain, if it is a slowly worsening pain, gout is generally not considered. Of course, some gouts have prodromal symptoms, which means that you may feel significant discomfort at the site of the gout before the attack, but even then, it is a sudden attack. Therefore, slowly worsening pains like tenosynovitis can be easily distinguished from gout.

The symptoms of gout can be redness, swelling, pain, and dysfunction, and the pain of gout is very intense. This pain is not painful when you move the affected area, but when you don't move. Therefore, if there is redness and swelling in allergies, but the main manifestation is itching, it is obviously not gout.

And diseases like synovitis that are not very painful to move and pain when they move are not gout.

The onset of gout is more acute and the pain is more intense, but fortunately, the symptoms of gout can be relieved quickly, generally 3 to 5 days can be improved, usually not more than 7 days, even if the gout is particularly severe, the symptoms are generally not more than 14 days. So, chronic inflammation like tennis elbow is generally considered for pain that usually lasts for months, rather than gout.

In short, the attack of gout has its own characteristics, and mastering these 4 methods can simply make a basic judgment, pay attention to @Orthopedic Dr. Wang, and continue to introduce other methods in the next issue.

Gout (gout) is a condition caused by high levels of uric acid in the blood that cause uric acid crystals to be deposited in the joints, causing painful inflammatory episodes in and around the joints.

Tophi is a characteristic clinical manifestation of gout, which is commonly found in joints such as the auricle, metatarsophalangeals, fingertips, metacarpophalanges, elbows, Achilles tendons, and patellar bursa.

This disease is directly related to hyperuricemia caused by purine metabolism disorders and/or decreased uric acid excretion, and the main clinical characteristics are elevated blood uric acid, recurrent acute arthritis, tophi, renal lesions, and severe cases can cause joint destruction, renal damage, often accompanied by hyperlipidemia, hypertension, diabetes, arteriosclerosis and coronary heart disease.

What is the incidence of gout in the population?

Gout is seen all over the world and is affected by region, ethnicity, and dietary habits. At present, the prevalence of gout in China is 1 3, and with the extension of human life expectancy and the change of diet and lifestyle, this data is increasing year by year.

According to the stage data of the National Rheumatology Data Center (CRDC) network registration and follow-up study, as of February 2016, the average age of gout patients in China is years old (male years, female years), and gradually younger, with a male-to-female ratio of 15 1, and more than 50 gout patients are overweight or obese.

What are the types of gout?

According to different **, gout can be divided into three categories: primary, secondary, and idiopathic, and their clinical manifestations are similar.

Primary gout.

It accounts for the vast majority, which is caused by both genetic factors and environmental factors, and is mostly caused by uric acid excretion disorders, with a certain familial predisposition.

Secondary gout.

It is mainly caused by kidney disease, drugs, cancer chemotherapy or radiotherapy.

Idiopathic gout.

The cause of this type of gout is unknown.

If you have a symptom to go to the hospital, the decision should be made by a professional doctor, and you can't ask blindly, because blind inquiry will endanger your life and health.

Gout is a group of diseases caused by long-term purine metabolism disorders and high blood uric acid, resulting in tissue damage. The clinical features are: hyperuricemia, acute arthritis reversal, tophi formation, chronic arthritis and joint deformity, as well as the appearance of nephrolic acid stones and gouty renal parenchymal lesions later in the course of the disease.

Severe pain in the joints of the lowest part of the human body is often occurring, and the pain is unbearable, and soon the pain blows over like a "wind" for 1-7 days, so it is called "gout". The early symptom of most patients with gout is acute chain gout tardy arthritis.

Acute gouty arthritis mostly occurs in the facet joints of the lower extremities, particularly the first metatarsal joint. In addition, it often occurs suddenly at night, with local redness, swelling, and severe pain in the affected joints, and is extremely sensitive to temperature, touch, and vibration. Gout has a rapid onset and resolves quickly, and resolves on its own in about a week.

Because this type of arthritis is not caused by a bacterial infection, it is generally not accompanied by a fever and is not effective with antibiotics**.

Absolutely, that's where I hurt