Gouty gout (Gonagra)

Gouty gout (Gonagra) is a type of gout that affects the knee joint.

Gout is a disease associated with the accumulation of uric acid crystals in the joints. Gout usually affects the joints of the foot, especially the big toe. However, sometimes crystals are deposited in other joints, including the knee. This is called gouty or gouty gonarthrosis.

The causes of gouty gout are the same as with regular gout - disorders of purine metabolism, kidney failure, and taking certain medications. Risk factors are male gender, age over 40 years, obesity, alcohol abuse.

Symptoms of gouty gout are pain and swelling of the knee joint, limited mobility of the knee. The pain intensifies when walking or putting pressure on the joint. During an exacerbation, redness and a local increase in temperature of the knee may appear.

Diagnosis is based on analysis of the synovial fluid of the knee joint. Treatment of gouty gonitis includes diet, medications to normalize uric acid metabolism, and NSAIDs. Sometimes aspiration or surgical removal of the crystals from the knee joint is performed. The prognosis with adequate treatment is favorable.

Gouty gout is one of the most common forms of gout - a disease in which the metabolism of purines in the human body is disrupted, which leads to the deposition of uric acid salts and inflammation in various parts of the body. The most susceptible joint is the kneecap, so athletes, as well as people in professions with heavy physical activity or a certain diet, are most likely to “get” the disease. In this article we will talk about this disease in more detail.

General information Most cases of gout occur in men aged 40–50 years (in the population the ratio between men and women is 3:1), women are less likely to get sick. Women usually become ill when they are younger than 40 years of age when they enter childbearing age. Today, the disease is more common in men than in women. If we talk about the prevalence of the disease, it ranges from 0.01% (during preventive examinations) to 5% (after examinations to identify the causes of pain in the joints and impaired mobility). Gout occurs predominantly in people over 45 years of age, and only in rare cases can it be found in patients under 30. Most often, gouty symptoms occur in men. Therefore, in the medical literature, the disease is diagnosed as “arthrosis-arthritis,” which tells us about its complex etiology (origin) - the cause of the disease is a dysfunction of the metabolism of purine bases and the deposition of crystals of uric acid salts around the joints. But if earlier it was believed that it was all a matter of a genetic disorder, today more and more researchers are inclined to believe in the influence of excess consumption of meat products. You should know that gout very rarely manifests itself without any other symptoms other than itchy skin, which may go unnoticed. They almost always appear along with the disease, and quite rarely go away immediately after treatment of the underlying disease. To avoid false conclusions, it is necessary to identify a characteristic sign during clinical diagnosis of the disease. It lies in the fact that an attack of gout in this case will necessarily make itself felt in the joint area, while other pains may appear in some distant muscle or part of the body. This will only increase the patient's suffering and help the doctor make the correct diagnosis. It is imperative to distinguish secondary gout from infectious arthritis and traumatic synovitis.

**Gouty gout** is a disease that occurs due to the deposition of uric acid in the joints and tissues of the body. Inflammation and destruction of the joint occur due to excessive intake of uric acid from food or its synthesis due to metabolic disorders. The term comes from the Greek "gony" - joint and "graios" - belonging to