It was once thought that gout, the so-called “disease of kings,” typically spared queens. But in the last 20 years, cases of gout have more than doubled among women. Today, 2 million women – and 6 million men – in the U.S. have this inflammatory form of arthritis that causes joint swelling and telltale pain at the base of the big toe.
A swollen, stiff knee might immediately lead you to suspect you have osteoarthritis (OA), but the culprit could also be gout. Like many close relatives, the two conditions share common features. And because they often occur together, you might wonder which one is causing your symptoms.
“It’s definitely possible for people to have both conditions at the same time. They’re the two most common types of arthritis,” says Svetlana Krasnokutsky, MD, assistant professor of medicine in the Division of Rheumatology at NYU Langone Health. “They can affect the same joints.”
In addition to being treated with medication for symptoms of an acute flare, should a person with gout be put on long-term uric acid-lowering medication to reduce future flares? And is it safe to keep raising the dose of the medication until uric acid drops below a specified target? Rheumatologists and other physicians are currently grappling with those questions, and a new study may help lead to some answers.
What Is Gout?
Gout is the most common form of inflammatory arthritis in the United States, affecting more than 8 million adults. It develops in some people who have high levels of uric acid in the blood. Needle-shaped crystals form in and around joints – often beginning in the base of the big toe – causing episodes of severe pain, heat and swelling.
Continue reading Increasing Allopurinol Dose May Better Control Gout
A new study found that people with gout have a 25 percent greater likelihood of dying prematurely than people without gout. The findings also show that this increased mortality rate has not improved over the past 16 years, unlike the mortality rate for people with rheumatoid arthritis (RA).
Gout, which affects more than 4 percent of adults in the United States, is the most common form of inflammatory arthritis. It develops in some people who have high levels of uric acid in the blood. The acid can form needle-like crystals in a joint and cause sudden, severe episodes of pain, tenderness, redness, warmth and swelling. Gout is also associated with other illnesses, such as cardiovascular disease and metabolic syndrome.
Continue reading People with Gout at Risk of Premature Death
It may come as a surprise that gout is the most common cause of inflammatory arthritis among adults in the United States.1 It’s also very painful, but gout can be a management disease – meaning there are several things people with gout can do to reduce flares, or eliminate flares all together.
Continue reading Arthritis Foundation Launches Wipe Out Gout – Awareness Campaign
At times, life can be difficult for those living with gout, but it can be just as hard on spouses. When you live in close quarters with a significant other, you undoubtedly feel the pain they deal with on a daily basis. Mira knows this firsthand.
Early on in their marriage, Mira’s husband returned from a business trip with a painful toe and they couldn’t figure out the cause. “For someone who was athletic and never had any health problems, it was inexplicable,” says Mira. “That first attack lasted about a week, and we were young, so he didn’t go see a doctor.”
Continue reading “Honey, I Have Gout”: A Spouse Reflects on Her Worries
National Gout Awareness Day is recognized annually on May 22 to help raise awareness around gout, a painful disease that affects approximately 8.3 million Americans.
Gout is a form of inflammatory arthritis that develops as a result of excess levels of uric acid in the blood, which results in a condition called hyperuricemia.. The uric acid can form needle-like crystals in a joint and cause sudden, severe episodes of pain, tenderness, redness, warmth and swelling.
Although gout appears to manifest itself suddenly as an acutely red, hot and swollen joint (often the big toe) with excruciating pain, it’s actually the result of a process that’s been occurring in the body for quite some time. The disease may be chronic for some patients, and for others it may remit for long periods of time, followed by flares for days to weeks.