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INTRO SYMPTOMS TYPES CAUSES DIAGNOSIS TREATMENT PREVENTON PREVALENCE THANKS
GOUT
PRESENTED BY:
Syeda Kishuara
Begum
Rimi Chowdhury
Fabiha Muniyat
Proma
Syed Lokman
INTRO SYMPTOMS TYPES CAUSES DIAGNOSIS TREATMENT PREVENTON PREVALENCE THANKS
FEATURES GOUT RHEUMATOID ARTHRITIS OSTEOARTHRITIS
NATURE Metabolic Disease Inflammatory Disease Degenerative Disease
CAUSE Deposition of uric acid Abnormality in immunity Aging of the joint
MORNING
STIFFNESS
NA 1 Hour 15 Minutes
PAIN Mild Extreme Mild
Gout is a form of inflammatory arthritis characterized by recurrent attacked of a red,
tender, hot and swollen joint caused by defective metabolism of uric acid. Pain
typically comes on rapidly in less than twelve hours.
GOUT - THE DISEASE OF KINGs
INTRO SYMPTOMS TYPES CAUSES DIAGNOSIS TREATMENT PREVENTON PREVALENCE THANKS
INTRO SYMPTOMS TYPES CAUSES DIAGNOSIS TREATMENT PREVENTON PREVALENCE THANKS
GOUT
Based on Cause
Primary
Enzyme defects
Secondary
Increased nucleic acid
turnover
Chronic renal disease.
Based on Severity
Acute
Warmth, pain, swelling,
reddish discoloration in a
joints
Bed sheet touching the
toe causes severe pain
Chronic
Urate crystals may
appear
Occurs kidney stones
INTRO SYMPTOMS TYPES CAUSES DIAGNOSIS TREATMENT PREVENTON PREVALENCE THANKS
Impairment
ofUricAcid
Transpor-
tationin
Renal
Proximal
Tube
Uric acid enters through
OAT1, OAT3, OAT2,
OAT4, URAT1 and
SLC2A9v2 transporters.
Uric acid releases
through SLC2A9v1,
ABCC4, NPT4 and NPT1
transporters.
INTRO SYMPTOMS TYPES CAUSES DIAGNOSIS TREATMENT PREVENTON PREVALENCE THANKS
Over
Production
ofUric
Aciddue
todefectin
Enzyme
INTRO SYMPTOMS TYPES CAUSES DIAGNOSIS TREATMENT PREVENTON PREVALENCE THANKS
Synovial fluid testing from the joint to looking for uric acid crystals.
Blood test to measure the level of uric acid in blood.
Test for white blood cell count and erythrocytocis sedimentation rate
(ESR) as both may be elevated due to gout in the absence of infection.
Asking question to patient about the symptoms.
INTRO SYMPTOMS TYPES CAUSES DIAGNOSIS TREATMENT PREVENTON PREVALENCE THANKS
Medication:
Medications that reduce serum uric acid level like “allopurinol”
that blocks uric acid production, and can be used in people with
renal impairment or urate stones.
“Pegloticase” is administrated as an intravenous infusion which
reduces uric acid level.
“Probencid” may be used if under secretion of uric acid is
present.
Others:
Taking anti-inflammatory medicine for better feeling.
Resting of the joint that hurts.
Don’t taking “aspirine” as it increases the uric acid level in the
blood.
INTRO SYMPTOMS TYPES CAUSES DIAGNOSIS TREATMENT PREVENTON PREVALENCE THANKS
Controlling of
body weight.
Consumption of
coffee, Vit-C and
dairy products.
Maintain physical
fitness
Reducing intake
of purine rich
foods
Limit daily intake
of meat, seafood
and alcohol.
Drink plenty of
water and other
fluids.
INTRO SYMPTOMS TYPES CAUSES DIAGNOSIS TREATMENT PREVENTON PREVALENCE THANKS
Ref: 1. Kuo et al, Global epidemiology of gout, Nature Reviews Rheumatology 11, 649-662(2015)
2. Statistics by Country for Gout, Right Diagnosis, rightdiagnosis.com/g/gout/stats-country.htm
>10% in
Oceanian Countries
>2% in
North America
>1.3% in
Europe
>0.2% in
Bangladesh
Rare in
undeveloped countries
3.90%
2.90%
0.00%
1.00%
2.00%
3.00%
4.00%
5.00%
2007-08 1988-94
GOUT IN USA (ADULTS)
Male vs Female
Male Female
INTRO SYMPTOMS TYPES CAUSES DIAGNOSIS TREATMENT PREVENTON PREVALENCE THANKS
THANKS

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Gout - 7 Minute Presentation

  • 1. INTRO SYMPTOMS TYPES CAUSES DIAGNOSIS TREATMENT PREVENTON PREVALENCE THANKS GOUT PRESENTED BY: Syeda Kishuara Begum Rimi Chowdhury Fabiha Muniyat Proma Syed Lokman
  • 2. INTRO SYMPTOMS TYPES CAUSES DIAGNOSIS TREATMENT PREVENTON PREVALENCE THANKS FEATURES GOUT RHEUMATOID ARTHRITIS OSTEOARTHRITIS NATURE Metabolic Disease Inflammatory Disease Degenerative Disease CAUSE Deposition of uric acid Abnormality in immunity Aging of the joint MORNING STIFFNESS NA 1 Hour 15 Minutes PAIN Mild Extreme Mild Gout is a form of inflammatory arthritis characterized by recurrent attacked of a red, tender, hot and swollen joint caused by defective metabolism of uric acid. Pain typically comes on rapidly in less than twelve hours. GOUT - THE DISEASE OF KINGs
  • 3. INTRO SYMPTOMS TYPES CAUSES DIAGNOSIS TREATMENT PREVENTON PREVALENCE THANKS
  • 4. INTRO SYMPTOMS TYPES CAUSES DIAGNOSIS TREATMENT PREVENTON PREVALENCE THANKS GOUT Based on Cause Primary Enzyme defects Secondary Increased nucleic acid turnover Chronic renal disease. Based on Severity Acute Warmth, pain, swelling, reddish discoloration in a joints Bed sheet touching the toe causes severe pain Chronic Urate crystals may appear Occurs kidney stones
  • 5. INTRO SYMPTOMS TYPES CAUSES DIAGNOSIS TREATMENT PREVENTON PREVALENCE THANKS Impairment ofUricAcid Transpor- tationin Renal Proximal Tube Uric acid enters through OAT1, OAT3, OAT2, OAT4, URAT1 and SLC2A9v2 transporters. Uric acid releases through SLC2A9v1, ABCC4, NPT4 and NPT1 transporters.
  • 6. INTRO SYMPTOMS TYPES CAUSES DIAGNOSIS TREATMENT PREVENTON PREVALENCE THANKS Over Production ofUric Aciddue todefectin Enzyme
  • 7. INTRO SYMPTOMS TYPES CAUSES DIAGNOSIS TREATMENT PREVENTON PREVALENCE THANKS Synovial fluid testing from the joint to looking for uric acid crystals. Blood test to measure the level of uric acid in blood. Test for white blood cell count and erythrocytocis sedimentation rate (ESR) as both may be elevated due to gout in the absence of infection. Asking question to patient about the symptoms.
  • 8. INTRO SYMPTOMS TYPES CAUSES DIAGNOSIS TREATMENT PREVENTON PREVALENCE THANKS Medication: Medications that reduce serum uric acid level like “allopurinol” that blocks uric acid production, and can be used in people with renal impairment or urate stones. “Pegloticase” is administrated as an intravenous infusion which reduces uric acid level. “Probencid” may be used if under secretion of uric acid is present. Others: Taking anti-inflammatory medicine for better feeling. Resting of the joint that hurts. Don’t taking “aspirine” as it increases the uric acid level in the blood.
  • 9. INTRO SYMPTOMS TYPES CAUSES DIAGNOSIS TREATMENT PREVENTON PREVALENCE THANKS Controlling of body weight. Consumption of coffee, Vit-C and dairy products. Maintain physical fitness Reducing intake of purine rich foods Limit daily intake of meat, seafood and alcohol. Drink plenty of water and other fluids.
  • 10. INTRO SYMPTOMS TYPES CAUSES DIAGNOSIS TREATMENT PREVENTON PREVALENCE THANKS Ref: 1. Kuo et al, Global epidemiology of gout, Nature Reviews Rheumatology 11, 649-662(2015) 2. Statistics by Country for Gout, Right Diagnosis, rightdiagnosis.com/g/gout/stats-country.htm >10% in Oceanian Countries >2% in North America >1.3% in Europe >0.2% in Bangladesh Rare in undeveloped countries 3.90% 2.90% 0.00% 1.00% 2.00% 3.00% 4.00% 5.00% 2007-08 1988-94 GOUT IN USA (ADULTS) Male vs Female Male Female
  • 11. INTRO SYMPTOMS TYPES CAUSES DIAGNOSIS TREATMENT PREVENTON PREVALENCE THANKS THANKS