Acute Polyarticular Gout due to Chronic Kidney Disease
K. Arvind Natarajan *
Department of Orthopaedics, Sree Balaji Medical College and Hospital, Biher, Chrompet, Chennai- 600044, India.
P. Saravanan
Department of Orthopaedics, Sree Balaji Medical College and Hospital, Biher, Chrompet, Chennai- 600044, India.
*Author to whom correspondence should be addressed.
Abstract
Gout is a crystal deposition disorder that typically presents as an acute flare of the first metatarso-phalangeal joint of the great toe. Rarely gout can present as an acute poly-articular disease with involvement of multiple joints. Evaluation of patients with poly-articular arthropathy with appropriate investigations like uric acid levels, renal function tests and synovial fluid analysis helps in the early diagnosis of poly-articular gout. Immediate treatment with urate lowering agents during the acute flare provides immediate pain relief and prevents progression of disease & bone destruction.
Keywords: Gout, acute polyarticular, chronic kidney disease, urate lowering therapy, hyper-uricemia