What is the difference between gout and rheumatism and rheumatoid arthritis?

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.

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.

Joints are one of the most important structural components of the human body. Pain in the joints can seriously affect people's lives. Moreover, the joint pain that the patient experiences does not refer to a disease. Rheumatoid arthritis and gout can cause discomfort in the joints.

The main difference between rheumatoid arthritis and gout is that gout is caused by the patient's body. Above the genetic disease, rheumatoid arthritis is an immune disease in the body. Gout is caused by the accumulation of uric acid in the body.

Rheumatoid arthritis is a phenomenon caused by changes in the internal environment of the patient's body and problems with the immune system, resulting in inflammation in the body, causing rheumatoid arthritis.

The symptoms of body pain in people with gout are sudden onset of pain without warning. Rheumatoid arthritis attacks occur slowly when the weather changes. At the time of examination, there were uric acid crystals in the bone fluid of gout patients, but not in rheumatoid arthritis.

Rheumatoid arthritis mainly occurs in the joints and bones, and gout mainly occurs in the toe area.

The difference between rheumatoid arthritis and gout, the above has shown that for the two diseases of rheumatoid arthritis and gout, the first method also needs to be distinguished. Gout patients should eat less seafood at ordinary times, as the purines in it are relatively high, which will aggravate the condition. Patients with rheumatoid arthritis should pay attention to taking their medicines on time and taking more rest.

When the pain of patients with two diseases worsens, it should be carried out in a timely manner**.

Gout, rheumatism, rheumatoid arthritis can cause joint redness, swelling, heat and pain, and a long or negative history can cause joint damage and limit joint deformation or movement. Judging by these symptoms, it is difficult for the average person to distinguish between gout, rheumatism, and rheumatoid arthritis. But in terms of disease classification, gout is a metabolic disease, while rheumatism and rheumatoid arthritis are a rheumatic immune disease, so there are still differences between them.

Gout is a group of hyperuricemias caused by disorders of purine metabolism and decreased uric acid excretion. These include acute onset arthritis, tophi formation, chronic arthritis of tophi, joint deformities, kidney stones, urinary tract stones, severe joint disability, and renal failure. The main indicator is elevated uric acid.

Causes: Increased uric acid production. Decreased uric acid excretion. Elevated uric acid is caused by diseases such as kidney disease, osteoproliferative disorders, etc.

Symptoms are sudden and painful. Sudden onset of monoarticular pain in the distal lower extremity at night. Fever.

The area of pain is warm. Tophi formation. Hyperuricemia.

Itching and peeling of the joints. Joint destruction. Damage to the kidneys and urinary system.

First of all, it is necessary to understand that gout cannot be treated, only the symptoms can be improved. Bed rest with elevation of the affected limb in the acute phase. Application of medications.

Such as colchicine, glucocorticoids, nonsteroidal anti-inflammatory analgesics. Benbromarone, allopurinol, etc. can be used in the chronic phase. Quit alcohol and avoid high-purine foods.

Drink plenty of water. Proper physical activity.

Rheumatoid arthritis is a multi-systemic inflammatory autoimmune disease that primarily involves peripheral joints. It is characterized by symmetrical and peripheral polyarticular chronic inflammatory lesions. Clinical manifestations include pain, swelling, and decreased function of the affected joint.

The course of the disease is continuous and reversible. For more information, please refer to the early article (accidentally stealing laziness, hehe) Some people with rheumatoid arthritis have cloudy weather or worsening symptoms in winter. However, rheumatoid arthritis itself is not directly related to weather, which is only one of the possible precipitating factors.

Rheumatoid arthritis is never sick because it is just a cold or wet weather. It is an autoimmune disease. In general, it's the antibodies in your body that "attack" their own joints and cause damage.

Rheumatoid arthritis is related to genetics, environmental and other factors, and smoking is also one of its risk factors, but it is not related to natural rheumatism.

In conclusion, gout can be used as a metabolic disease, which is usually acute and has a lot to do with diet, so remember the twelve-word principle of gout prevention Shut your mouth, **, drink plenty of water, and exercise regularly! The most important characteristics of rheumatoid arthritis are persistent, symmetrical and erosive, the course of the disease is repeated, the joint pain is not as severe as that of gout, and it is mainly related to immune regulation. Rheumatology is a broad concept that includes bones, joints, and the soft tissues around them, and can be divided into ten categories based on their pathogenesis, pathology, and clinical features.

Rheumatoid arthritis falls under one of them – diffuse connective tissue disease. Gout is a rheumatic disease associated with metabolism and endocrine.

It is a common joint inflammatory reaction, an immune disease caused by infection with bacteria; Gout is a metabolic disease that is caused due to abnormal purine metabolism, whereas rheumatoid arthritis is a disease of the immune system caused by a bacterial infection.

It is usually caused by streptococcal infection, but the difference is that rheumatoid arthritis is not obvious, but gout is very afraid of cold.

It is caused by a fracture of the joint. Usually the former has more intense pain, no matter what the weather is, they will be in pain. But the latter is generally painful when the weather is cooler.

Disease analysis: rheumatoid arthritis is a chronic autoimmune disease, the specific cause of which is unclear, mainly involving both wrist joints and interphalangeal joints, usually positive for rheumatoid factor, more common in young and middle-aged women, and more common in women. The difference between gout and rheumatoid is very large, first of all, gout is a metabolic rheumatic disease, which is an inflammatory disease caused by long-term hyperuricemia leading to urate deposition in the joints, and the affected joints are usually large joints such as metatarsophalangeal joints, dorsum of feet, ankle joints, knee joints, etc.

Rheumatoid arthritis has a relatively high disability rate, and through early **, it can delay the progression of the lesion and reduce the occurrence of joint deformities.

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.