What do I look for in gout?

  Gout is a recurrent inflammatory disease caused by increased purine biosynthesis, excessive uric acid production or poor uric acid excretion, and deposition of urate crystals in synovial membranes, bursae, cartilage and other tissues. There are two main types of gout: primary and secondary.  Acute attacks of gout mostly show synovitis, especially in the distal joints of the limbs, with typical symptoms occurring in the toes (foot gout), – typical manifestations of redness, swelling and heat around the joints. Chronic gout is characterized by destructive joint changes. Therefore, you must go to a regular hospital for standardized treatment, and after the elimination of symptoms, pay attention to avoid over-eating seafood, animal offal, beer and other high purine diet.  Gout is a lifelong metabolic disease that can be treated effectively to maintain a normal life and work, and will not affect life expectancy. However, if not treated properly, recurrent attacks of acute arthritis can cause greater pain. Those with joint deformities and nephrolithiasis will have their quality of life affected. Those with severe renal impairment have a poor prognosis.  The impact on prognosis can be summarized as follows: 1. The younger the onset, the more severe the disease.  2. Those with a positive family history have a more severe disease.  3, the longer the course of the disease, the more severe the progressive damage.  4, Those with high frequency of recurrence and rapid disease progression.  5.The prognosis of gout nodules is poor if they are fast.  6.The condition of gout is more serious if it is complicated by hypertension, coronary heart disease and kidney disease.  7.Diet control or not, especially in the interval.  8.Treatment measures, how to control the disease? In particular, whether the control is rapid in the acute period, whether the intermittent period adhere to the treatment and the prognosis are closely related.  Today, gout has spread all over the world, which is closely related to the development of society, economic progress, and the degree of education. However, gout should not be ignored because it is an ancient disease. Nowadays, the more advanced countries are, the higher the incidence is, especially in economically affluent countries and regions. Therefore, the prevention and treatment of gout and its prognosis are also related to the degree of attention, etc.