Introduction Gout is a disorder of purine nucleotide metabolism. Cause joints to become red, tender and swollen. Also, may lead to kidney stones which cause kidney failure .Excessive production of uric acid leads to this condition (more than 7mg/dl). Further these uric acids get precipitated into mono sodium urate crystals which accumulate into joints and cause swelling and inflammation of joint. There are two types of gouts namely, primary gout and secondary gout. Primary Gout: Due to defect in purine nucleotide metabolism Secondary Gout: Cancer, chemotherapy, psoriasis and renal dysfunction cause this condition. Signs and Symptoms The most common signs of gout is inflammatory arthritis which is characterized by redness, tenderness and swelling of the affected joint. Usually, the first metatarso pharyngeal joint of great toe is affected (almost in 90% of the cases). As the uric acid levels rise the uric acid gets precipitated and form tophi which gets accumulated in joints...
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