![]() ![]() Gout is diagnosed using a number of tests including: tophi (lumps of crystals that form under the skin) may occur in people who have repeated attacks. Medication for gout skin#skin over the joint may look red and shiny.have type 2 diabetes, high blood pressure or high cholesterol – these conditions can mean that your kidneys are less able to flush out the urates.eat a diet high in purines such as meat, sweetbreads, offal, shellfish, and fructose.drink too much alcohol (particularly beer).have elevated levels of uric acid in the blood.You’re more likely to have a gout attack if you: This is likely to affect your knees and other joints more than the big toe and is most common in people with osteoarthritis. In this case, crystals of calcium (rather than urate) are deposited in joint cartilage and then shed into the joint space. Similar attacks to gout can be caused by a condition called pseudogout (or acute calcium pyrophosphate arthritis). Because of this it’s thought that other factors such as your genes may be involved. Having hyperuricaemia doesn’t mean you’ll develop gout – in fact most people with hyperuricaemia don’t go on to develop gout. If your body makes too much uric acid, or your kidneys can’t clear enough of it out, it builds up in your blood. Uric acid normally dissolves in your blood, is processed by your kidneys and leaves your body in urine. Your body makes uric acid when it breaks down purines, a substance found in your body and in some foods. Gout occurs when uric acid, a normal waste product, builds up in your bloodstream and forms urate crystals in a joint. The most commonly affected joint is the big toe, but gout may be experienced in the feet, ankles and knees, elbows, wrists and fingers. While most other types of arthritis develop slowly, an attack of gout usually happens suddenly, often overnight. Gout is a common form of arthritis characterised by repeated attacks of extreme joint pain, swelling and redness. ![]()
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