계명대학교 의학도서관 Repository

The diagnosis, pathophysiology, and treatment of gout

Metadata Downloads
Author(s)
Park, JaehoSchumacher, Ralph H. Jr
Keimyung Author(s)
Park, Jae Ho
Department
Dept. of Internal Medicine (내과학)
Journal Title
Current Opinion in Orthopedics
Issued Date
1995
Volume
6
Issue
5
Abstract
Gout is the best known crystal-induced joint disorder. This disease, which is caused by monosodium urate crystal deposition occurs most commonly in men with a peak incidence in the fifth decade. Women also often get gout after menopause. Although gout is a result of hyperuricemia, asymptomatic hyperuricemia in the absence of gout is not a disease state. The typical initial attack of gout usually occurs in a single joint, often in the big toe. Without treatment gout evolves over years to chronic tophaceous gout often with chronic arthritis in up to 75% of cases. Detection of monosodium urate crystals is considered mandatory for establishing the diagnosis of gout as serum uric acid levels can be misleading. Coating of the crystals by different proteins may modify their inflammatory potential and may be an important modulating mechanism. Some portion of gouty inflammation after urate crystal deposition can result from binding of iron to crystals, which also augments neutrophil activity in vitro. For the appropriate treatment of acute gouty arthritis in the patients with multiple medical problems that may contraindicate nonsteroidal anti-inflammatory drugs or colchicine, the use of adrenocorticotropic hormone and triamcinolone acetonide can be considered. The use of cyclosporine in transplant surgery has created a whole new class of patients with gout that is difficult to manage. Patients taking cyclosporine often develop hyperuricemia and an early, polyarticular and tophaceous gout. Allopurinol can be used with adjustment of doses of any azathioprine that is being used. Benzbromarone also appears to be a promising drug in the cyclosporine treated renal transplant recipients, if they have a creatinine clearance over 25 mL per minute.
Keimyung Author(s)(Kor)
박재호
Publisher
School of Medicine
Citation
Park, Jaeho and Schumacher, Ralph H. Jr. (1995). The diagnosis, pathophysiology, and treatment of gout. Current Opinion in Orthopedics, 6(5), 20–25.
Type
Article
ISSN
1041-9918
Source
https://insights.ovid.com/crossref?an=00001433-199510000-00004
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/35542
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
공개 및 라이선스
  • 공개 구분공개
  • 엠바고Forever
파일 목록
  • 관련 파일이 존재하지 않습니다.

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.