Acute attack of gouty arthritis: Symptoms, Diagnosis & Treatments
Symptoms The main symptoms of acute attack of gouty arthritis are severe pain, heat, and swelling, and the symptoms usually worsen at night. Most gouty arthritis also involve single joints. However, in this patient, polyarticular gout is observed in about 20% of cases. Most polyarticular gout patients were not treated with gout or multiple recurrence cases. Diagnosis The diagnosis of Gouty arthritis can be confirmed by puncturing the synovial fluid and observing the MSU through a polarizing microscope. Hemorrhagic leukocytosis is observed in the blood, and ESR and CRP are increased, and uric acid is increased. However, when acute gouty attack is present, uric acid may be normal. Treatments In addition, ultrasound examination can be helpful in image examination, hyperechoic linear density (double contour sign) is a powerful current feature. Acute attack The treatment of gouty arthritis is an anti-inflammatory drug. NSAIDs, colchicine, systemic / intraarticular glucocorticoids, ...