Finger gout

Introduction Rheumatoid arthritis (RA), ankylosing spondylitis, can cause pain in the joints of the fingers. It belongs to the category of traditional Chinese medicine, and it is known as the bones and the wind. It is a systemic disease characterized by chronic polyarticular inflammation. It is often caused by the onset of small joints of the hands and feet. It is often symmetrical. The early symptoms are pain, swelling, difficulty in movement and stiffness of the affected joints. Fingers, palms, and toes are dominant. Late symptoms of long-term unhealed are joint deformities.

Cause

Gout of finger formation, gout is mainly caused by excessive uric acid in the body, uric acid is a metabolite of sputum, usually discharged from the urine, if the body's uric acid is high, sometimes painful symptoms such as acute joint pain, acute gout attack, If gout is not properly treated, gout stones, arthritis, joint deformities and kidney stones will occur later. In general, gout attacks mostly invade the first joint of the big toe of the lower extremity, while gouts over 65 years old often invade the upper limb, especially the finger joint.

an examination

Related inspection

Polarized light microscopy of uric acid uric acid uric acid

A normal blood uric acid should be repeated several times to avoid missed diagnosis. Some drugs that affect the excretion of blood uric acid by the kidney include salicylic acid, antihypertensive drugs, diuretics (hydrochlorothiazide), telden, dicoumarin, glycine, methicillin, acesulfame, Vitamin g, C and various X-ray contrast agents and other gouts in the elderly are different from the typical gout attacks in young people. Generally, gout attacks often invade the first joint of the big toe of the lower extremities, while gouts over 65 years old are more. Invade the upper limbs, especially the finger joints.

Differential diagnosis

Finger joint pain:

1, rheumatoid arthritis, often the proximal finger joint of the finger is involved, there is morning stiffness (the morning finger is stiff, difficult to make a fist) morning joint stiffness lasts for a long time, usually lasts for several hours, multiple joint pain, often It is characterized by symmetry and migration. Hand X-ray changes have more bone damage. Rheumatoid factor positive.

2 knuckle osteoarthritis

Finger joint pain, swelling, bone growth in the joint - bone spur. It occurs mostly at the knuckles at the end of the finger, and can also occur in the joint between the fingers. Proliferative arthritis is generally older, and more often occurs in one or more fingers over 40 years of age, with the involvement of other fingers. The diseased joint can be red and swollen and painful. Joint stiffness in the morning is more common and can be heavier, but the duration is shorter, less than 20 minutes. X-ray examination showed bone hyperplasia.

Finger numbness

The sensory nerve of the finger is distributed to the hands and fingers by the nerve roots separated from the cervical spinal cord. When some parts of the nerve damage, inflammation, tumor, pressure, etc. cause paresthesia, finger numbness occurs.

Gout in the elderly is not the same as the typical gout attack in young people. Generally, gout attacks mostly invade the first joint of the big toe of the lower extremities, while gouts over 65 years old often invade the upper limbs, especially the finger joints.

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