"I had gout when I was young, but I controlled it well during this period and did not relapse. But now I am older and gout is on again, and it is ineffective according to the previous methods." said an aunt in her 60-year-old.
Did your elders also have this kind of "gout". The uric acid level of blood has dropped, but the joints are still swollen and painful? In fact, this "gout" is fake!
Gout and "pseudogout" are different in concepts
Gout is caused by excessive uric acid production in the body or uric acid excretion disorders, causing uric acid in the blood, and urate crystals are deposited in the joint synovium, bursal , cartilage and other tissues, causing recurrent inflammatory diseases.
Pseudogout is also known as calcium pyrophosphate deposition disease and pyrophosphate arthritis. It is an arthritis disease caused by the deposition of double-water calcium pyrophosphate in the joint cavity.
causes substances and different positions
causes substances between the two to be different. Gout is caused by urate crystallization, and "pseudogout" is caused by calcium pyrophosphate deposition.
The location of gout generally occurs in the synovium, cartilage and other tissues of the joints, mainly involving the small joints of the limbs, such as toes and finger joints. Although the location of "pseudogout" also involves articular cartilage, synovium and surrounding tissues, it also involves meniscus , and is mainly in large joints such as knee joint, ankle, hip joint , shoulder joint, and elbow joint , wrist joint.
Symptoms are different
Gout is slower, usually occurring at midnight or early morning, with redness, swelling, heat, and pain, and it usually relieves itself after 2 weeks.
"False gout" has a rapid onset time, redness and swelling, but the pain is relatively mild, the pain is worsened, and it is accompanied by limited activity. The onset time ranges from several days to several weeks, and it has the characteristics of repeated attacks.
Differential differences in the population
Gout is common among men around 30 years old and above and women after menopause; while "fake gout" is not generally found in young people, and is common in middle-aged and elderly people over 50 years old, and the probability of male and female illness is comparable.
factors are different
gout is mainly caused by purine metabolism disorders in the body, which is generally related to eating seafood, drinking alcohol, and intake of too much protein . "Pseudogout" is mainly caused by the deposition of calcium pyrophosphate crystals in the body. It is generally related to age and long-term medication and is a disease of degenerative joint lesions.
treatment is different
In the treatment of gout, you must first eat less high-purine foods, such as eating less shrimp, crab and other seafood, and drinking less beer; only through drugs will be controlled and treated when necessary; if it is gout caused by obesity, you can exercise appropriately to lose weight, and the probability of gout attack will also be reduced.
"False gout" has no treatment drugs for this disease so far. Pay attention to protecting the big joints in daily life, such as doing knee pads while running, wrist guards while playing ball, etc. During acute pain period, you can take painkillers and other drugs to relieve the symptoms of pain under the guidance of a doctor.
Whether it is real gout or fake gout, it is recommended to protect knee , hip joints and other joints in normal times to avoid recurrence when you get older; at the same time, you should control your weight, eat less high-purine foods, and prevent gout.
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Editor: Zhengxintang Health Science Popularization Group
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