๐ ็ธฝ็ฎ้ ๏ฝ ๐ ่ฑๆๅๆ๏ผๆฌ็ฏ๏ผ ๏ฝ ๐ ๅฎๆด็ฟป่ญฏ ๏ฝ โญ ็ฒพ่ฏ็ญ่จ
GOUT
GOUTย ย ICD-10: M10
โข A clinical syndrome occurring in a group of diseases characterized by the deposition of monosodium urate crystals in synovial fluid and joints.
โข Acute gouty arthritis usually occurs in middle age and usually affects a single joint in the lower extremities, usually the first metatarsophalangeal joint. It can also affect fingers (Fig. 15-19A).
โข Intercritical gout describes the interval between attacks of gout. With time, attacks tend to be polyarticular.
โข In chronic tophaceous gout, patients rarely have asymptomatic periods. Urate crystals are found in soft tissues, cartilage (Fig. 15-19B), and tendons.
โข Gout may occur with and without hyperuricemia, renal disease, and nephrolithiasis.
A
B FIGURE 15-19 โข Acute gouty arthritisโ(A) Affecting the distal interphalangeal joint of the fifth digit. (B) Gouty tophi on helix.
ๅ 15-19