Gout:A clinical overview and its association with cardiovascular diseases

• 作者: Laura BE Kienhorst Hein JEM Janssens Matthijs Janssen
• 来源期刊: 世界风湿病学杂志
• 学科: 医学
• 关键词: GOUT Review CLINICAL CARDIOVASCULAR DISEASES
• 年，卷（期）: sjfsbxzz_2014,（3）
• 页码范围: 62-71
• 页数: 10页
• 分类号: R

摘要

Gout is a common disease caused by the deposition of monosodium urate(MSU)crystals in patients with hyperuricemia,and characterized by very painful recurrent acute attacks of arthritis.The gold standard for diagnosing gout is the identification of MSU crystals in synovial fluid by polarization light microscopy.Arthritis attacks can be treated with anti-inflammatory medications,such as non-steroidal anti-inflammatory drugs,colchicine,oral prednisone,or intra-articular or intramuscular glucocorticoids.To prevent gout uric acid lowering therapy with for example allopurinol can be prescribed.When gout is adequately treated,the prognosis is good.Unfortunately,the management of gout patients is often insufficient.Gout is associated with dietary factors,the use of diuretics,and several genetic factors.Comorbidities as hypertension,chronic kidney disease,cardiovascular diseases,the metabolic syndrome,diabetes,obesity,hyperlipidemia,and early menopause are associated with a higher prevalence of gout.Xanthine oxidase and chronic systemic inflammation seem to play an important role in the pathophysiology of the association between gout and cardiovascular diseases.To prevent cardiovascular diseases gout patients must be early screened for cardiovascular risk factors.