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ENCYCLOPEDIA INDEX
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Chronic gouty arthritis

Overview Symptoms Treatment Prevention
Alternative Names:
Gout - chronic; Gouty arthritis - chronic
Symptoms:
  • An attack of chronic gout is similar to an attack of acute gouty arthritis. Symptoms come on suddenly, usually involving only one or a few joints. The pain frequently starts during the night and is often described as throbbing, crushing, or excruciating. The affected joints show signs of warmth, redness, and tenderness. The pain tends to subside within several days. Chronic gout attacks, however, occur more often.
  • If several attacks of gout occur each year this may cause chronic symptoms such as joint deformity and limitation of motion in affected joints. Uric acid deposits called tophi develop in cartilage tissue, tendons, and soft tissues. These tophi usually develop only after a patient has suffered from the disease for many years. Deposits also can occur in the kidneys, leading to chronic renal failure.
Signs and tests:
There may be a current or previous medical history of acute arthritis in one joint. A physical examination of joints shows arthritis and tophi.

Tests that indicate gouty arthritis include:
Uric acid crystals
Uric acid crystals
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