Gout Is A Complex Metabolic Disease

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Gout is a complex metabolic disease that presents itself in a form of arthritis that causes unexpected, severe attacks of pain. In addition, men are more likely to get gout, but women become increasingly susceptible to gout after menopause (Mayo Clinic Staff, n.d.). Generally, gout affects one joint at a time and causes tenderness, redness, warmth, and swelling of the joint. However, it can be in several joints. The big toe is most often affected, but gout can also affect other joints in the leg – such as the knee, ankle and foot – and less often, the hand, wrist, fingers and elbow ("Arthritis and Gout," n.d.). An attack of gout can occur suddenly, often waking you up in the middle of the night with the sensation that the big toe is on fire. In fact, the joint is so tender that the mere weight of the sheet upon the affected joint may seem intolerable. The prevalence of gout appears to be increasing. It is currently estimated to affect over 6 million Americans (Shiel, Jr., M.D., FACP, FACR, 2015). There are three different types of medical appearances of gout that vary in symptoms and treatment, they being hyperuricemia, acute gout, and tophus gout. Hyperuricemia is an overproduction of uric acid and is seen in the beginning stage of gout. In addition, peak incidences occur in patients 30 to 50 years old. Patients with asymptomatic hyperuricemia do not require treatment, but efforts should be made to lower their urate levels by encouraging them to make changes in
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