Signs of acute gouty arthritis

To assess the condition of the patient, a puncture of the affected joints is required.

Doctors make the final diagnosis only after discovering uric acid salt crystals in the contents of the tophus (crystalline uric acid deposit).

Signs of gouty arthritis include:

  • development of acute monoarthritis;
  • symptoms of hyperuricemia;
  • noticeable improvement during the course of treatment with Colchicine.


Gout home self-treatment
However, external signs of the disease do not allow to make the diagnosis with great accuracy. To ensure the presence of pathological changes, a puncture is needed. After studying composition of the liquid, hyperuricemia can be distinguished from gouty arthritis.

Acute gouty arthritis is often accompanied by purulent processes. Osteoarthritis and pseudogout start to develop in a patient, but only after confirming the diagnosis, is Colchicine prescribed to the patient. To manage the disease, glucocorticosteroids via intraarticular injection(s) are recommended.

Measures should be taken as early as possible to reduce hyperuricemia, since the effectiveness of the drug depends on low uric acid levels. Colchicine should be taken at a dosage of 0.6 mg every hour. Some patients may present side effects.

Measures should be taken as early as possible to reduce hyperuricemia, since the effectiveness of the drug depends on low uric acid levels. Colchicine should be taken at a dosage of 0.6 mg every hour. Some patients may present side effects. If there are no positive results of treatment within 10 hours, doctors usually stop the drug. In this case, the diagnosis can become questionable.

Colchicine can cause problems in the digestive tract, as well as abdominal pains and bouts of nausea. These symptoms occur in 80% of patients taking the drug. Before taking a course of treatment with Colchicine, a treatment trial is indicated.
Positive changes after treatment with medication confirm that the diagnosis was correct. To eliminate signs of hyperuricemia, it’s best to use other types of drugs. Patients are prescribed Ibuprofen and Indometacin for uricemia reduction.

In case of a contraindication to Colchicine, the introduction of glucocorticosteroid treatment is carried out. Corticotropin helps to get rid of acute gouty arthritis symptoms. A single dose of the drug is 40-50 IU.

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