Myth 1: the use of antibiotics for acute attacks of gout 1, many gout patients, and even some non-specialist doctors in the acute attack of gout will choose to use antibiotics, such as intravenous penicillin, cephalosporin antibiotics, etc., based on the belief that the joints are red, swollen and hot, then there must be a bacterial infection. The key is to use antibiotics after a period of time gout patients joint swelling and pain can also be relieved. 2, gout acute attack need to use antibiotics? The answer is no. Because the acute attack of gout is a sterile inflammatory reaction caused by urate crystals deposited in the joints and surrounding tissues, generally do not need antibiotic treatment, unless the gout patients secondary infection or combined with other parts of the body infected, there is obvious evidence of infection and laboratory indicators to support. Then why do many gout patients use antibiotics in the acute phase after a period of joint swelling and pain can be relieved? In fact, this is not the role of antibiotics, very often it is not serious gout patients in the early acute phase of the self-limiting, so the joint swelling and pain can be relieved naturally. Gout patients using antibiotics tend to have repeated attacks, more serious than once. So how should the acute phase of gout be standardized treatment? The current domestic and international gout guidelines recommend the use of non-steroidal anti-inflammatory pain relievers, colchicine, glucocorticoids for the treatment of acute attacks of gout, the purpose of which is to anti-inflammatory (non-infectious inflammation of the joints caused by uric acid crystals) and analgesic (to relieve the patient’s severe pain). Myth 2: believe in surgery Modern medicine believes that gout belongs to the category of internal diseases (rheumatism), even with gout stone patients are generally not preferred to surgical treatment, unless the gout stone has caused functional damage to organs and seriously affect the quality of life. Because surgical treatment cannot solve the problem fundamentally, if the blood uric acid level of gout patients can not be maintained for a long period of time to meet the standard, gout stone will continue to form, and after the operation of the surgical incision is difficult to heal, greatly affecting the patient’s quality of life. For patients with gout stones, it is recommended to reduce uric acid to below 300umol/L. The gout stones may slowly become softer, or even be gradually absorbed. Excessive faith in surgical treatment, while ignoring the internal gout standardized drug treatment, gout stone will only be like a “weed” like cut and grow, “a year, a year”, surgical treatment can only treat the symptoms and can not cure the root cause. Myth 3: high purine food can not eat 1, “people eat for heaven” well, in the daily treatment of gout patients in the process, almost every patient is still most concerned about the diet. “Which can eat” and “which can not eat” is almost every gout patients will ask the question. 2, undoubtedly high purine diet (such as animal offal, seafood, beer) is a common cause of gout, but endogenous purine metabolism disorders is also an important mechanism of gout attacks. The traditional concept that gout patients should strictly limit the intake of purine in their daily diet, but in recent years, with the publication of gout mechanism and diet-related research reports, some old gout dietary concepts have been gradually corrected, and some new concepts have been gradually proposed and emphasized. For example, gout patients are not absolutely “unrelated” to seafood. 3, seafood for people with high nutritional value, and better than meat, is conducive to human health. At the same time, seafood, especially oily fish body is rich in unsaturated fatty acids, is the body’s main source of unsaturated fatty acids, its cardiovascular system may have a protective effect on the human body. 4, and gout patients and cardiovascular disease is a high incidence of people, so that gout patients does not mean that only when the “monk” vegetarian. Gout patients also do not need to choke on the long-term vegetarian diet, while long-term vegetarianism can easily lead to malnutrition. What gout sufferers are advocating is a controlled purine intake. Many studies have shown that if gout patients maintain blood uric acid in the standard level (below 300ummol / L), then in remission in moderation eating beef, lamb, shrimp, crabs and other high purine content of food is not alarming. Seafood with lower purine content: mackerel, herring, salmon, anchovies, tuna, whitefish, lobster, crab, oysters, etc. Myth 4: the lower the blood uric acid drop the better 1, most gout patients have kidney involvement, especially chronic gout patients, serious cases can appear joint destruction deformity, renal function damage and even uremia, gout patients are often accompanied by hyperlipidemia, hypertension, diabetes mellitus, atherosclerosis and coronary artery disease, etc., seriously jeopardize the quality of life of patients. 2, so many gout patients will think that since high uric acid is so harmful to the body, that uric acid should be reduced as low as possible. But everything has a yin and yang, contradiction is the unity of opposites, uric acid is not the lower the better. Large-scale epidemiological studies around the world have found that uric acid is associated with degenerative brain tissue. Uric acid below normal can cause diseases such as Alzheimer’s and multiple sclerosis. Researchers spent five years comparing 59,204 gout sufferers in the UK with 238,805 non-gout sufferers, a group with a similar average age of 65. The study found that there were 309 cases of Alzheimer’s disease among the gout patients and 1,942 cases among the non-gout patients. The rate of Alzheimer’s disease was 24 percent lower in the gout patients than in the other group. The reason for this may be that uric acid protects against oxidative stress. It may help slow down neurological aging. In addition, there are studies showing that uric acid has the effect of maintaining blood pressure, and low uric acid increases the risk of cardiovascular disease and Alzheimer’s disease. 3, we attach importance to the harm of high uric acid at the same time can not ignore its beneficial aspects, in short, appropriate is beneficial, too much is harmful, yin and yang secret, gout patients to lower uric acid treatment is generally blood uric acid level of not less than 180umol / L is appropriate. Myth 5: gout can not be cured 1, as mentioned earlier, gout patients need anti-inflammatory pain treatment in the acute phase, the need to reduce uric acid in remission to reach the standard treatment, then how long does it take to reduce uric acid treatment, is not the need for long-term medication? 2, daily outpatient gout patients often ask this question, the doctor will generally answer “the drug needs to be taken for a long time”. In fact, many doctors do not know for each person’s “long-term period of time” in the end is how long. We need to realize: gout and hypertension, diabetes, these diseases are chronic diseases, hypertension has blood pressure lowering goals, diabetes has sugar lowering goals, gout also has uric acid lowering goals. In the past, textbooks told us that once uric acid treatment is started, it needs to be maintained for life to keep blood uric acid levels at the target level. Personal clinical experience believes that if the blood uric acid level is maintained below 300 (with gout stones) or 360umol/L (without gout stones) for more than a few months or even a few years, the urate crystals and gout stones deposited in the body will gradually dissolve and disappear, and the gout will no longer attack (like the bandits in Wulong Mountain, who have been eliminated after a long period of banditry); some patients can maintain the uric acid level at the standard level for a long time through their own regulation, and can even stop taking the medication. Some patients can maintain the uric acid level at the standard for a long time through self-regulation, and can even stop taking the medicine, and as long as they control their diet in the future, the gout will not recur, which is considered a clinical cure, which is the meaning of the current domestic and international opinion that gout is a kind of rheumatic disease that can be cured. Summarize At present, gout is considered a curable and intractable rheumatic disease, and gout patients can achieve the goal of cure only if they receive early, standardized and standardized treatment under the guidance of rheumatologists.