Evaluation of Patients with Gout Acute Arthritis In Terms Of Demographic, Clinical and Laboratory Parameters

Abstract

Gut arthritisis is an acute inflammatory arthritis characterized by pain and storing of monosodium urate crystals in joints or tissues. In our study we aim to increase awareness of patients with gout arthritis. It was evaluated the demographic, clinical and laboratory features of 118 patients with acute gout arthritis who admitted to the Department of Rheumatology and Internal Medicine of Osmangazi University between November 2011 and October 2012. Standardized study form was complated for all of the patients. All data were analyzed with SPSS 20 and IBM Statistics. In our findings, mean age of patients was 57.79 years, %89 patients was male and %34.7 of the patients had obesity. The most common comorbid disease was hypertension (53.4%) and the most common triggering factor was antihypertensive drug use (42.3%). It had been observed that the first episode occurred in the 1st metatarsophalengeal joint (78.8%), the patients were diagnosed with an average of 3.13 attacks, 82.7% of the patients had podogra, 23.7% of them had trophy and the attack clinic was severe. There was a statistically significant difference between the serum uric acid level and the presence of tofus (p = 0.002). The diagnosis was made most frequently in the presence of clinical findings and hyperuricemia (72.9%) and the compliance rate in ACR criteria was 87%. The serum uric acid level was found to be 8.41 ± 1.87 mg / dL. Increasing the awareness of gut arthritis, which is a common condition in the community, among physicians, is gaining importance in terms of preventing early complications and complications.

Key Words: Gout Arthrit, Hiperuricemia, Tophaceous, Podagra.

DOI: 10.7176/JSTR/5-2-34