acute gouty arthritis
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Acute Gouty ArthritisAn abrupt gouty attack, which may be precipitated by overeating, alcohol, surgery, emotional stress, infection, antibiotics, insulin.
Clinical findings Crushing pain of a joint—typically of the big toe—which is swollen, hot, shiny.
Management, acute NSAIDs, COX-2 inhibitors, colchicine (side effects include diarrhoea and vomiting, even before pain relief), steroids and ACTH.
Management, chronic Lose weight if BMI > 28; reduce alcohol consumption, allopurinol, periodically check urate levels.