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Gout is a group of diseases of high uric acid caused by purine metabolism disorders and decreased uric acid excretion. Contains acute onset arthritis, tophi production, tophi chronic arthritis, joint deformities, stones and urethral stones, severe joint disability and kidney failure. Its main indicator is elevated uric acid.
Rheumatoid arthritis is a multisystematic inflammatory immune disease that mainly accumulates peripheral joints. Chronic inflammation of symmetrical multiple peripheral joints.
Gout can be a class of metabolic diseases, and the general onset is abrupt, which has a lot to do with diet, so to prevent gout, we should keep in mind the 12-character principle Keep your mouth shut, lose weight, drink more water, and exercise often! The biggest feature of rheumatoid arthritis is that it is persistent, symmetrical and erosive, the course of the disease is recurrent, and the joint pain is not as strong as gout, which is mainly related to immune regulation. Rheumatism is a universal concept, which includes bones, joints and surrounding soft tissues, and can be divided into ten categories according to its pathogenesis, pathology and clinical characteristics.
For ordinary people, the simplest thing is to distinguish from the symptoms. The key disease of gout occurs in young and middle-aged men and postmenopausal women, mainly affecting the leg joints such as the big toe, ankle and knee, with high blood uric acid, and the joints are red, swollen, hot and painful at the onset. Rheumatoid arthritis is mainly seen in women before and after menopause, with pain in the facet joints of both hands, morning stiffness as specific manifestations, rheumatoid factor is often more than three times the standard value, anti-cyclic citrullinated antibodies.
Typical rheumatoid manifestations are also present, but patients who are negative for rheumatoid factor and anticyclic citrulline antibodies are diagnosed with seronegative rheumatoid arthritis after clearing other rheumatism.
Rheumatic fever is mainly caused by group A hemolytic streptococci and can cause joint pain, which is mainly in children and young adults. Arthritis is manifested as migratory pain in large joints, such as knee pain for a while, elbow pain for a while, and pain in the fingers and toes joints rarely occurs. Joint pain leaves no sequelae.
Although the three diseases have their own characteristics and are different, if left untreated, some can not only cause joint deformity and disability, but also cause lesions in other organs.
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This is rheumatoid arthritis because if it is a disease that occurs only in wet weather, it is rheumatoid arthritis, and if it also occurs in sunny weather, it is rheumatism.
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If it occurs in rainy weather, joint pain is likely to be rheumatoid arthritis, and a thorough examination is required to confirm whether it is arthritis.
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You need to go to the hospital for an examination, most of which may be caused by the injury in this area, which can be determined according to the location of the pain and the feeling of pain.
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Of course, these two types of pain are not the same. The two diseases can be distinguished by their manifestations, as the symptoms of the two diseases are different.
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The pain of gout is not the same as the pain of rheumatism, gout often attacks at night, and it is particularly intense, and tophi can be felt, but most of them are arthritis, which will slowly lead to joint deformity, loss of function, etc.
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The pain of gout is not the same as the pain of rheumatism. Gout joint pain is generally based on sudden severe pain in the big toe, and it will also affect the knee and waist, check for increased uric acid, there will be kidney disease, rheumatic joint pain is mainly in the large joint, first see if there is bone hyperplasia, the nature of the pain is migratory, check for abnormalities such as anti-O ESR.
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Of course it is not the same, because the causes of the two diseases are different. When gout attacks, it is often at night, and the joints are very swollen and painful, and there is a burning feeling, which is very unbearable. Rheumatism attacks, generally when the weather changes, and the joints will feel more swollen and painful, if you use something hot, the pain will be significantly reduced.
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How can you tell the difference between rheumatoid arthritis and gout? Both rheumatoid arthritis and gout can cause joint swelling and pain, but there is a clear difference between the two. Tophi is a heterogeneous group of diseases caused by a disorder of purine metabolism or decreased uric acid excretion, resulting in an increase in blood uric acid, while rheumatoid arthritis is a systemic autoimmune disease with a predominantly chronic progressive joint pathology.
The main differences between rheumatoid arthritis and gout are the following 3 points: 1The speed of onset of gout, gout has a rapid onset, generally reaching a peak of pain within 24-48 hours, while the joint pain of rheumatoid arthritis, which is more common in slow progression, is a gradual increase in pain; 2.
60%-70% of gout occurs in the first metatarsophalangeal joint, followed by the dorsum of the foot, ankle, knee, wrist and elbow joint, etc., and most of them are monoarticular or oligoarticular attacks. When rheumatoid arthritis occurs, the most common parts are the proximal interphalangeal joints, metacarpophalangeal joints, and wrist joints of both hands, followed by the toes, knees, elbows, and shoulder joints, and sternoclavicular joints, cervical spine, temporomandibular joints, etc., which can also be affected, and most of them are symmetrical and persistent; 3.The prevalence of gout varies from male to female, while rheumatoid arthritis is more common in females.
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1. The name of the disease is different; 2. Different types of diseases; 3. Gout is caused by the accumulation of uric acid in the blood due to impaired metabolic function and erosion of various tissues including joints; 4. Rheumatism is a well-defined autoimmune disease, with rheumatoid arthritis and very bad sequelae - rheumatic heart disease; 5. Rheumatoid arthritis refers to similar to rheumatoid arthritis, it is also an inflammation, which is an autoimmune disease, but it is unknown, and at the same time, it is mainly inflammatory synovitis, and this disease mainly harms the joints, which can cause disability and has little to do with other parts of the body. In terms of disease morphology and symptoms, rheumatoid arthritis is more similar to gout.
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1 Both rheumatism and gout have a common feature, that is, the pain gradually disappears after a period of time. Rheumatism itself is very closely related to the change of weather, and the cycle of pain will change with the change of weather, and gradually disappear to the appearance of the next cycle; Gout also has a cyclical change after the first pain, the duration of the pain varies from person to person, but eventually the pain goes away. However, the symptoms, and methods are different.
2. Gout is a disorder of purine metabolism in the human body, the synthesis of uric acid (oxidative metabolites of purines) increases or decreases, resulting in hyperuricemia, when the blood uric acid concentration is too high, uric acid is deposited in the joints, soft tissues, cartilage and kidneys in the form of sodium salt, causing foreign body inflammation in the tissue.
Rheumatism, on the other hand, refers to unexplained chronic pain in the joints and their surrounding soft tissues. Rheumatic diseases refer to a large group** of different diseases, but the common denominator is that it affects the joints and surrounding soft tissues, including muscles, ligaments, bursa, and fascia. In addition to pain, joint lesions are accompanied by swelling and impaired mobility, showing a chronic course of alternating episodes and remissions, and some patients with early grasp may have joint disability and visceral failure.
3. Gout is more common in the first metatarsophalangeal joint, which is red, swollen, hot, painful, limited in activity, and can be accompanied by fever and leukocytosis. It often manifests as a sudden, fixed pain somewhere, with a sudden onset at night, severe pain, which peaks in 72 hours, disappears on its own in a week or two, and recurs in several years. When eating a diet rich in purines, such as animal offal, sardines, yeast, tobacco, alcohol, etc., high uric acid accumulates in the blood and tissues and is easy to form tophi, which is more common around the phalanges and joints, and can also form kidney stones.
The main manifestations of rheumatism are joint pain, neck and shoulder pain, low back, foot pain, heel pain, and sometimes swelling of the joints. It usually occurs after rheumatism in the joints. Rheumatoid arthritis is a manifestation of rheumatic fever, and in general, such patients have heart disease, because rheumatoid arthritis can invade the heart, which will cause rheumatic heart disease, and if it is a heart disease caused by rheumatoid arthritis invaded by the heart, then the body will have fever or rash and other manifestations.
4. Gout is treated with drugs that promote purine metabolism and uric acid excretion, such as colchicine. Rheumatoid arthritis, on the other hand, is treated with salicylates.
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Gout and rheumatism are not the same.
1. Gout is a crystal-related arthropathy caused by monosodium urate (MSU) deposition, which is directly related to hyperuricemia caused by purine metabolism disorders and/or decreased uric acid excretion, especially acute characteristic arthritis and chronic tophi diseases, mainly including acute onset arthritis, tophi formation, tophi chronic arthritis, urate nephropathy and uric urinary tract stones, and in severe cases, joint disability and renal insufficiency. Gout is often associated with abdominal obesity, hyperlipidemia, hypertension, type 2 diabetes, and cardiovascular disease.
2 Rheumatism is a group of diseases that mainly invade joints, bones, muscles, blood vessels and related soft tissues or connective tissues, most of which are autoimmune diseases. Onset is mostly insidious and slow, with a long course of disease, and most of them have a genetic predisposition. Diagnosis and ** are difficult; Different autoantibodies may be detected in the blood, which may be related to different HLA subtypes; Good short- or long-term remissionary response to nonsteroidal anti-inflammatory drugs (NSAIDs), glucocorticoids, and immunosuppressants.
Learn more about it.
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Hello, gout and rheumatism are two different diseases. Gout is caused by a disorder of uric acid metabolism, while rheumatism is a connective tissue disease. It may all be localized, swollen and painful in the joints.
Gout is mainly manifested by an increase in blood uric acid. Rheumatological tests are negative, and rheumatic diseases are characterized by anti-O rheumatic factor and positive rheumatic antibodies. I recommend that you check your blood uric acid and rheumatism for a full set of tests.
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1. The causes of their onset are different, gout is caused by the concentration of urate in the body reaching saturation crystals, and rheumatism is due to problems with the immune system.
2. The method is also different, gout can be balanced by the trinity of traditional Chinese medicine, and rheumatism is not good because of its own immune system problems.
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Gout and rheumatism are not the same thing, but sometimes it is difficult to distinguish the symptoms and manifestations, to give you a simple way, rheumatism is symmetrical, to hurt the joints on both sides are painful together, gout generally has no symmetry.
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No, gout is more common in adult men, mostly at night, and within 24-48 hours of eruption, the first metatarsal toe of the thumb (big thumb) is the most common, others such as ankle, arch are also more common, knee joints, wrist joints and elbow joints are also visible, the initial onset is mainly unilateral joints, the main manifestations are: local redness and swelling, fever, swelling pain or severe pain, ** appearance is dark red or purple-red, the affected area is shiny, some patients are accompanied by systemic symptoms, similar to sudden **, with fever, etc. In this regard, patients with gout should try not to play closed, do not use hormones, and do not take drugs with too rapid acid-lowering effects, so as not to aggravate the condition or bring difficulties to the future.
At this time, the correct method should be, outside: ice (cold) can be used to apply ice (cold) to the affected area to reduce swelling; Internal: Non-steroidal drugs can be taken to relieve pain; At the same time, it can be combined with taking Pingfeng polyphenol coffee to clear internal heat, detoxify acid, and balance acid and alkali.
At the same time, it is conducive to controlling the future**.
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First, the pathogenesis is different. Although gout and rheumatoid disease are obviously hereditary, the occurrence of gout is mainly due to a visceral effect caused by metabolic disorders in the patient's body, and is a disease caused by excessive uric acid production by purines in the patient's body, while rheumatoid is mainly a disease based on joint lesions, which is relatively difficult and stubborn.
Second, the predisposing factors are different. The main cause of gout is that it is caused by too much purine products in the patient's body, and the site of the disease often occurs in the joints around the patient's phalanges, and the occurrence of rheumatoid is mostly related to infection, which is generally more common in young people, and is most likely to occur after being infected by wind and cold.
Third, the way is different. Gout disease is the most important time, mainly the use of drugs to help patients promote the excretion of uric acid in the body, gout disease is prone to reverse action, the harm caused to patients is very serious, and rheumatoid drugs are mainly salicylic acid.
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1.The main onset of gout is the thumb and ankle joint of the foot, and there is redness, swelling, heat and pain. Rheumatoid arthritis usually affects the joints of the fingers, metacarpophalangeal joints, and wrist joints, and rarely causes redness or burning.
2.Complications of gout are often accompanied by hypertension, hyperlipidemia, arteriosclerosis, diabetes mellitus, and uric acid nephropathy and kidney stones. Rheumatoid is generally accompanied by rheumatoid vasculitis, pericarditis, pleurisy, etc., and the kidneys are rarely damaged.
3.**Different gout is caused by high uric acid in the body, and rheumatoid arthritis is caused by autoimmune production disorders. 4.
Gout is more common in obese men around the age of 50, and rheumatoid is more common in women around the age of 40. The above is the difference between the two diseases, gout should pay attention to a reasonable diet, avoid foods high in purines, such as, seafood, alcohol, animal offal, etc. The pain is so severe that it can be taken to relieve the pain with colchicine.
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