smallRW.gif (2706 bytes) Men Aged 40-50 at Highest Risk for Developing Gout; A Monthly Foot Fact from Foot.com, the "Foot Health Network"

TEANECK, N.J., Oct. 30 /PRNewswire/ -- An acute attack of inflammation in the big toe, so painful that the toe often can't bear the weight of a blanket, is usually a symptom of gout.

Gout is a form of arthritis caused by a build-up of uric acid in the blood that leads to a deposit of needle-like crystals in the connective tissue of the affected joint. Although gout most commonly attacks the big toe, the disease can affect any joint in the foot or body. Approximately 275 out of every 100,000 people will develop gout, and men aged 40 to 50 are the most susceptible. Women rarely develop the disease before menopause, and gout is rare in children and young adults. Gout accounts for about 5 percent of all arthritis cases.

According to Dr. Suzanne Belyea, Medical Director at Foot.com, a tell-tale sign of gout is the rapid onset of pain in only one joint. "Gout usually manifests itself as an acute attack, often developing overnight. The patient might feel a little discomfort in the affected joint, and within 12 to 24 hours will experience severe pain and swelling," she says. The skin in the affected area will be red and shiny, and often warm to the touch.

Potential causes of gout include:

  • Genetics, which may play a role in a person's risk
  • Being overweight, because excessive food intake increases the body's production of uric acid
  • Eating foods rich in purine, such as kidney, brain, liver, sardines, anchovies, and dried beans and peas
  • An enzyme deficiency
  • Exposure to lead
  • Some high blood pressure drugs or other medications
  • Diuretics, which decrease the amount of uric acid passed in the urine
  • Salicytates, or medicines made from salicylic acid (including aspirin)
  • The vitamin niacin

"To be certain a person's symptoms are being caused by gout, their physician can check the uric acid levels in the blood, or remove joint fluid to test for the uric acid crystals," explains Dr. Belyea.

Once a person has been diagnosed with gout, the physician may prescribe medication to bring down the inflammation. Self-help steps include minimizing movement of the joint through rest, and for comfort wearing proper footwear with a high, wide toe box. Orthotics can also help minimize movement of the toe. A rocker sole will accommodate and relieve pressure in the big toe joint. The initial attack should subside in several days, but risks for future attacks remain for anyone who has been diagnosed with the disease.

A number of medications are available which can decrease the uric acid levels in the blood over the long term and help avoid future attacks. Dietary changes or weight loss might also be recommended.

Dr. Belyea recommends that anyone suffering from gout be monitored regularly by a physician, because the disease, if not controlled, can eventually affect more joints in the body and cause irreversible damage. For more information on gout and other foot conditions and treatments, visit http://www.foot.com/.

SOURCE: Foot.com

WEB SITE: http://www.foot.com/

ST: New Jersey


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Posted October 30, 2000.

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