The Most Common Forms Of Inflammatory Arthritis

792 Words Jul 14th, 2016 4 Pages
Gout is one of the most common forms of inflammatory arthritis, affecting about 2.49% of the population in the United Kingdom. Over the past 16 years, there has been a rise in reported incidence in the UK (Lim et al., 2014). The condition tends to increase with age, especially affecting those above 65 years. It is known to be much more common in men, with an incidence of 4.42 per 1,000 in men but only 1.32 per 1,000 in women (Moi et al., 2014). The condition is characterised by the rapid onset of severe pain, swelling, and erythema of the affected joint. The first metatarsophalangeal joint is the site of the initial attack of gout in up to 78% of gout sufferers and is involved at some point in the course of the disease in up to 89% (Roddy et al., 2011). Other areas affected can include the mid-foot, ankle, knee, fingers, wrists and elbows. Chronic gout is defined as repeated attacks of gout greater than one episode in a year with persistent hyperuricemia (National Institute for Health and Care Excellence, 2015).
The treatment of gout is usually conducted over two separate phases: in cases of acute gout, rapid relief is offered from joint pain and inflammation, while in chronic cases, long-term management is provided to reduce serum urate, thus decreasing further acute attacks and irreversible joint damage (Moi et al., 2014). The European League Against Rheumatism (EULAR) management recommendations include lowering serum urate below 360 μmol/l (6 mg/dl). This has been…
Open Document