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What do you know about gout?

What do you know about gout?
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Picture Quiz: How good is your knowledge of gout? Brush up your knowledge of symptoms and treatment

Acute gout presents with red, tender, swollen and painful joints, especially the first metatarsophalangeal joint of the foot. In chronic gout, tophi may develop; they present as white hard nodules under the skin.

 
Questions

1. Gout is caused by high levels of phosphates in the blood. True or false?

2. Diuretics can exacerbate attacks of gout. True or false?

3. Non-steroidal anti-inflammatory drugs (NSAIDs) can be helpful in easing the pain associated with an attack of acute gout. True or false?

4. When gout is recurrent, allopurinol can be used, but must be started during the acute attack. True or false?

5. Gout can affect the eye, leading to symptoms such as blurred vision. True or false?

 
Discussion

1. False: It is caused by high levels of uric acid in the blood, which results in urate crystals forming in a joint or tissue. This the source of the pain associated with the condition.

2. True: Particularly thiazide diuretics.

3. True: Gastroprotection with a PPI should be considered with the use of NSAIDs.

4. False: Allopurinol can be used but needs to be started once an acute attack has completely settled.

5. True: Tophi, crystal-containing conjunctival cysts, band keratopathy and scleritis can all occur with gout.

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