SUCCESSFUL CORRECTION OF HYPERURICEMIA AND FOLLOWING ARTHROSCOPIC INTERVENTION IN A YOUNG GOUT PATIENT: CASE STUDY

Zhang Zheng Zhang Zheng,Guo Yichuan Guo Yichuan,Nataliia Oshmianska

doi:10.51582/interconf.21-22.05.2021.023

Abstract

Patient G., male, 32 years old was admitted to Chengdu Rheumatism hospital with the complains of pain and ulceration at the site of big tophaceous stone of fourth finger joint on the right hand as well as the pain and restricted movements in other right hand joints (elbow, wrist, fingers). Patient was first diagnosed with the gout approximately 10 years prior; by his own choice did not receive any urate-lowering treatment, only using oral analgesics during gout attacks. After surgery and following urate lowering therapy patient has noted functional improvement and reduction of pain. Decrease in serum urate levels from 586.7 to 469.3 μmol/L was reported. Wounds healing took from 1 to 1.5 weeks, with the wound on fourth metacarpophalangeal joint of the right hand being the last one to heal due to the wide ulceration defect. The longer follow-up period is needed to fully evaluate functional outcome (6-month follow-up examinations were scheduled).

Highlights

Late onset is the most usual one for gout, with the prevailing patients of male gender, who are older than 60, being already retired [1]
Pain and restriction of movements in the joints area due to the deposition of uric acid (UA) crystals often lead to the inability to perform work but most common daily tasks
Many recent studies point to the rising percentage of earlier gout onset

Summary

Introduction

Late onset is the most usual one for gout, with the prevailing patients of male gender, who are older than 60, being already retired [1]. Pain and restriction of movements in the joints area due to the deposition of uric acid (UA) crystals often lead to the inability to perform work but most common daily tasks. Exposure to hyperuricaemia and deposition of UA crystals can cause mechanical damage to joints which is accompanied by chronic inflammation and clinically results in chronic pain, functional impairment and radiographic structural changes peculiar to gout [4].

Results

Conclusion