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Gout

Also known as Uric acid arthropathy

Gout (also known as podagra when it involves the big toe) is a medical condition usually characterized by recurrent attacks of acute inflammatory arthritis—a red, tender, hot, swollen joint. The metatarsal-phalangeal joint at the base of the big toe is the most commonly affected (approximately 50% of cases). However, it may also present as tophi, kidney stones, or urate nephropathy. It is caused by elevated levels of uric acid in the blood. The uric acid crystallizes, and the crystals deposit in joints, tendons, and surrounding tissues.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with gout, 75% report having foot or toe pain, 48% report having knee pain, and 43% report having foot or toe swelling. The symptoms that are highly suggestive of gout are foot or toe pain, foot or toe swelling, and wrist swelling, although you may still have gout without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with gout often receive hematologic tests, complete blood count, plain x-ray, lipid panel, examination of foot, hemoglobin a1c measurement, application of splint and prostate specific antigen measurement .

Common Medications

The most commonly prescribed drugs for patients with gout include indomethacin, allopurinol, colchicine, febuxostat (uloric), probenecid, colchicine / probenecid, ethyl chloride topical, hydrochlorothiazide / telmisartan, methyclothiazide / reserpine, nilutamide, hydrochlorothiazide / methyldopa, eprosartan (teveten) and colistin/hc/neomycin/thonzonium otic .

Indomethacin
$27
(21 days)
Allopurinol
$4
(28 days)
Colchicine
$30
(28 days)
Febuxostat (Uloric)
$137
(28 days)
Probenecid
$24
(28 days)
Ethyl Chloride Topical

Nilutamide
$452
(28 days)
Eprosartan (Teveten)
$83
(28 days)

Who is at risk?

Groups of people at highest risk for gout include age 75+ years, sex == male, age 60-74 years and age 45-59 years. On the other hand, age 5-14 years, age 1-4 years, and age < 1 years almost never get gout.

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
0.0x
15-29 years
0.1x
30-44 years
1.0x
45-59 years
1.7x
60-74 years
1.9x
75+ years
1.9x

Sex

Male
1.8x
Female
0.4x

Race/Ethnicity

Black
1.3x
Hispanic
0.5x
White
1.0x
Other
1.5x
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