A Clinical Study On Gouty Arthritis.
- Author:
Il Yong CHOI
1
;
Kuhn Sung WHANG
;
Sung Chul AHN
;
Young Hwan KIM
Author Information
1. Department of Orthopedic Surgery, Hanyang University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Gout;
Arthritis;
Tophus
- MeSH:
Aged;
Allopurinol;
Ankle Joint;
Arthritis;
Arthritis, Gouty*;
Female;
Gout;
Humans;
Hyperuricemia;
Male;
Medical Records;
Metabolism;
Metatarsophalangeal Joint;
Obesity;
Radiography;
Uric Acid
- From:The Journal of the Korean Rheumatism Association
1994;1(2):169-174
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: The gout characterized by hyperuricemia is a disorder of purine metabolism and clinical manifestations were seen such as arthritis and tophi in the subcutaneous fitssues. But clinical symptoms were not correlated with the serum level of uric acid. So we analysis of clinical orthopaeclic manifestations and associated factors in gout. METHODS: We have reviewed the medical records, radiography and clinical results of forty six patients admitted at out department between july 1981 and July 1990. RESULTS AND SUMMARY: 1) OF the forty-six patient, 44 cases(95.6%)were male and two female. The age at initial attack was 47.7 year-old in average, from 13 to 66 year-old. 2) Hyperuricemia was associated with obesity in 17 cases(40%), and hyper-tension in 16 cases(35%). 3) The level of uric acid in serum was 9.7mg/% in average on admission and 5.9mg/% on discharge after treated with allopurinol about 2 weeks. 4) The first metatarsophalangeal joint was involved in 28 cases(60.9%) and the ankle joint in 12 cases. Topbus was observed in 14 cases(30.4%) and they were surgically treated in 10 cases.
