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      Laboratoire MOGADOR > Uncategorized > The Gout

    08Oct

    The Gout

    by admin,  0 Comments

     INTRODUCTION

    Common metabolic disease

    secondary to a purine metabolism disorder:

     Excess uric acid: hyperuricemia

    1. Hyperproduction

    2. Failure to eliminate

     Precipitation of sodium urate crystals Joints: gouty attacks

    (Acute gout) Soft parts (tophus), kidney and joints: Gout

    chronic

     Functional (articular) and vital (renal) prognosis

     

    EPIDEMIOLOGY

     Frequent hyperuricemia (5-15% of the population):

    > 70 mg/l (M) > 60 mg/l (F)

     Gout: 0.5% (2% after 60 years)

     Men in 90% of cases Women after menopause

     Most often between 30-50 years old

     

    ETIOLOGIES

     Primary gout:

    1.Idiopathic: 98% Overfed plethoric man (bon vivant) Mechanism unknown

    2. Enzyme deficiency: HGPRT Total: Lesh-Nyhan Partial: early gout (20-year-old man) and severe (renal involvement+++)

    3. Hyperactivity of PRPP synthetase

     Secondary drops:

    1. Chronic renal failure

    2. Hemopathies

    3. Extensive psoriasis

    4. Iatrogenic: (Diuretics + + + + + Low dose aspirin Chemotherapy Pyrazinamide, ethambutol)

     

    The biological assessment

     VS, NFS

     Hyperuricemia

     uraturia

     Synovial fluid: very inflammatory, 5000 GB/mm3 (PNN) (Sometimes 50,000 to 100,000)

    Sodium urate crystals

    Gouty tophi in the auricle

     

    Diet

     

    References :

    https://www.docteur-lequere.fr/actualites/item/29-hyperuricemie-et-goutte

    https://www.creapharma.ch/goutte.htm http://www.rhumato.info › docs › LA GOUTTE

    HAL Id: dumas-03160876 https://dumas.ccsd.cnrs.fr/dumas-03160876

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