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Difference between revisions of "Gout"
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| Caption = Gouty tophus. [[H&E stain]]. | | Caption = Gouty tophus. [[H&E stain]]. | ||
| Synonyms = | | Synonyms = | ||
| Micro = | | Micro = urate crystals - see ''[[crystals in body fluids]]'' - ''not'' seen on formalin fixed sections; tophi (granulomatous inflammation - surrounds fluffy (cotton candy-like) material); fibrotic synovium | ||
| Subtypes = | | Subtypes = | ||
| LMDDx = | | LMDDx = | ||
| Line 16: | Line 16: | ||
| Grossing = | | Grossing = | ||
| Site = [[joints]] - classically large toe | | Site = [[joints]] - classically large toe | ||
| Assdx = | | Assdx = +/-[[chronic renal failure]], +/-[[diabetes mellitus]] | ||
| Syndromes = | | Syndromes = | ||
| Clinicalhx = | | Clinicalhx = usually male | ||
| Signs = | | Signs = | ||
| Symptoms = joint pain | | Symptoms = joint pain | ||
| Prevalence = common | | Prevalence = common | ||
| Bloodwork = | | Bloodwork = urea elevated | ||
| Rads = | | Rads = | ||
| Endoscopy = | | Endoscopy = | ||
| Prognosis = benign | | Prognosis = benign | ||
| Other = | | Other = | ||
| ClinDDx = | | ClinDDx = other causes of joint pain - see ''[[arthritis]]'' | ||
| Tx = | | Tx = medications (NSAIDs for pain, allopurinol, colchicine) | ||
}} | }} | ||
'''Gout''' is a common benign affliction that can be disabling. It occasionally is seen by pathologists and can be grouped with conditions with [[crystals in body fluids]]. | '''Gout''' is a common benign affliction that can be disabling. It occasionally is seen by pathologists and can be grouped with conditions with [[crystals in body fluids]]. | ||