Occurrence of Gout in Rheumatoid Arthritis: It Does Happen!

A Population-Based Study

International Journal of Clinical Rheumatology

Adlene J Jebakumar; Prabhu D Udayakumar; Cynthia S Crowson; Eric L Matteson 

Int J Clin Rheumatol. 2013;8(4):433-437

Discussion

The co-occurrence of gout and RA is rarely reported. In addition to the widespread belief that gout and RA do not, or rarely, coexist in the same patient, it can be difficult to clinically differentiate RA from polyarticular tophaceous gout especially when gout involves the hands. Only 33 cases with coexisting RA and gout have been reported in the English literature prior to this study. These include a report of eight cases of coexisting RA and gout between 1994 and 2005 at Chang Gung Memorial Hospital (Taiwan); this report also included the features of 24 previously reported similar cases in the English literature.[8] A further case with coexisting chronic gout and RA was reported in 2007.[9] Of these 33 previously reported cases, 23 had gout preceding the diagnosis of RA, whereas in our study, only six out of 22 patients had a diagnosis of gout prior to incidence of RA.[8,9] All the previously reported cases of coexisting gout and RA had microscopic evidence of monosodium urate crystals in the synovial fluid or tophus. Rheumatoid factor was present in 24 out of the 33 previously reported cases compared with 14 out of 22 cases in our study. There was predominance of males, with 23 out of the 33 previously reported cases affecting men similar to our findings.[8,9]

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High Waist Circumference and Increased Lipid Levels Predictive of Unfavorable Gout Outcomes Over 2 Years

Hibah Khaja, PharmD | January 17, 2024

Anthropometric measures remained stable over a 2-year period among patients actively treated for gout, while lipid levels showed a decrease. After 2 years, high waist circumference and lipid levels were associated with unfavorable gout outcomes.

Anthropometric measures remained stable over a 2-year period among patients actively treated for gout, while lipid levels showed a decrease. After 2 years, high waist circumference (WC) and lipid levels were associated with unfavorable gout outcomes, according to study results published in Rheumatic & Musculoskeletal Diseases Open.

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The Relationship between Thanksgiving and Gout

Thanksgiving is a holiday that is often associated with indulging in rich, flavorful foods, many of which are high in purines. Some of the high purine foods commonly consumed on Thanksgiving include: – Turkey (especially dark meat) – Gravy – Stuffing with meat or seafood – Shellfish (e.g. shrimp, crab, lobster) – Organ meats (e.g. liver, kidneys) While it may be tempting to indulge in these foods, can you afford to do so?

It is very tempting to take on the mindset of, “It’s only ONE day!” And this could be quite true and possible if you are adhering to a successful maintenance protocol. We will get into what that may look like for you a bit further into this article.

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Managing Gout: Expert Tips for a Pain-Free Life

1. Introduction

Gout is a form of arthritis that can be quite debilitating, causing severe pain and inflammation in the joints. It is a condition that affects millions of people worldwide, and managing it effectively is crucial for a pain-free life. In recent years, there has been growing interest in brand marketing gout management products and services, with companies offering various solutions to alleviate symptoms and improve quality of life. This blog explores expert tips and strategies for managing gout, providing valuable insights and guidance for those seeking relief from this painful condition.

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Experts on how water intake affects uric acid levels in the body

Story by Lifestyle Desk 

Here’s what to know about uric acid levels and kidney function:

A less commonly spoken health risk among those associated with lack of adequate water intake is less uric acid levels in the body. Notably, while uric acid is a waste product, produced during the breakdown of various foods and drinks, its production too affects your health.

“Normally, uric acid dissolves in the blood and is discarded by the kidneys through urine. But in some cases, the body produces excess uric acid or the kidney dysfunction doesn’t excrete the required amount of uric acid, resulting in hyperuricemia. Long-term hyperuricemia can lead to development of gout, a painful form of arthritis, or kidney stones,” Dr Avanish Arora, director – Urology and Uro-Oncology & Senior Consultant – Robotic Urology, Nanavati Max Super Specialty Hospital, Mumbai told indianexpress.com.

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Fried Food Causes Inflammation & Weight Gain

Inflammation is a hot topic for weight loss and wellness—and for good reason. Research shows that chronic, low-grade inflammation can result in many major health issues, including heart disease, cancer, Type 2 diabetes, and more. If you suffer from chronic inflammation, you know how annoying it can be. From discomfort and digestive issues to fatigue and weight gain, inflammation is the worst. And, while most advice seems to focus on the best anti-inflammatory foods, it’s just as important to reduce foods that may be triggering or aggravating your condition. One of the biggest food group offenders for inflammation is fried foods.

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Study discovers T cells in human blood secrete a substance that affects blood pressure and inflammation

Acetylcholine regulates blood flow, but the source of blood acetylcholine has been unclear. Now, researchers at Karolinska Institutet have discovered that certain T cells in human blood can produce acetylcholine, which may help regulate blood pressure and inflammation. The study, which is published in PNAS, also demonstrates a possible association between these immune cells in seriously ill patients and the risk of death.

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Five signs of poor gut health – and how to start improving yours

Story by Lizzie Thomson @ MSN

Spring may be showing the first signs of springing, but the betting is that your gut is feeling far from its best – whether you realize it or not.

Stodgy winter food, a tendency towards carbs, lack of fresh fruit and a tendency to live less active lifestyles for what will have been months now could taking its toll.

But if you want to banish the winter blues, then prioritizing a healthy gut is a great place to start. ‘Most people forget that the gut does much more than simply digest your food. Gut health impacts your energy, skin and immune system, your ability to concentrate, sleep, and much more,’ says nutritionist Shona Wilkinson, from nutrition and supplement brand DR.VEGAN.

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Two blood pressure drugs may cause sharp crystals to fuse in the joints – gout attack risk

Treatment with the two drugs could spell trouble for individuals at risk of arthritis, research suggests.

By SOLEN LE NET

Arthritis describes a broad range of inflammatory diseases, some of which are more painful than others. In gout, a surplus of uric acid in the body coalesces into sharp crystals that build up and spur inflammation in the joints. Pain and swelling are common symptoms, but as attacks intensify the condition can become increasingly debilitating.

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Binge-eating and lack of exercise during lockdown has triggered huge increase in gout, data suggests

  • Hospital admissions for gout have surged due to binge-eating during lockdowns 
  • Gout is a type of inflammatory arthritis that causes sudden and severe joint pain
  • The joint pain is usually in your big toe but can also be found in other joints

By XANTHA LEATHAM HEALTH AND SCIENCE REPORTER FOR THE DAILY MAIL

PUBLISHED: 17:22 EST, 14 August 2022 | UPDATED: 17:22 EST, 14 August 2022

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