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Full-Text Articles in Medicine and Health Sciences

Lycopodium Clavatum As An Inhibitor Of Monosodium Urate Crystallisation In Gout: An In Vitro Study, Sithara Perveen P, Kr Mansoor Ali, Sheeba Veluthoor, Jijith U.S, Nithya T, Afiya Alloor, Shijil V K Dec 2022

Lycopodium Clavatum As An Inhibitor Of Monosodium Urate Crystallisation In Gout: An In Vitro Study, Sithara Perveen P, Kr Mansoor Ali, Sheeba Veluthoor, Jijith U.S, Nithya T, Afiya Alloor, Shijil V K

Indian Journal of Research in Homoeopathy

Background: Hyperuricaemia plays a significant role in the development and pathogenesis of several metabolic and systemic disorders including metabolic syndrome, hypertension, stroke and atherosclerosis. Lycopodium clavatum is the most widely used drug in homoeopathy for treating hyperuricaemia and gout. However, its mechanism of action in reducing serum uric acid remains uncertain. Objective: The objective of the study was to study the potential role of homoeopathic preparation of Lycopodium clavatum in different potencies on monosodium urate crystallisation in vitro. Methods: Spectrophotometric crystallisation assay was carried out on a stock solution of 5 ml of uric acid after its …


Gout: Current Considerations, Alexandria Fappiano, Wilson Crone Oct 2021

Gout: Current Considerations, Alexandria Fappiano, Wilson Crone

Internet Journal of Allied Health Sciences and Practice

Gout is a treatable chronic inflammatory condition that can cause severe joint pain and disfigurement. Commonly, it affects the first metatarsophalangeal (MTP) joint as a monoarticular process. It is typically caused by hyperuricemia and genetic mutations of the uricase gene. Gout is definitively diagnosed with the presence of negative birefringent needle-shaped crystals in the synovial fluid of the affected joint. Classically, seafood and alcohol are risk factors for developing gout. However, given current population trends, obesity is another major risk factor. While weight loss is the best conservative management, medications can also be used to manage gout. The treatment is …


The Frequency Of Achilles And Plantar Calcaneal Spurs In Gout Patients, Emi̇ne Duran, Emre Bi̇lgi̇n, Ali̇ İhsan Ertenli̇, Umut Kalyoncu Jan 2021

The Frequency Of Achilles And Plantar Calcaneal Spurs In Gout Patients, Emi̇ne Duran, Emre Bi̇lgi̇n, Ali̇ İhsan Ertenli̇, Umut Kalyoncu

Turkish Journal of Medical Sciences

Background/aim: Gout may cause various radiographic abnormalities such as cartilage loss, spurs, sclerosis, and periostal new bone formation. The purpose of this study was to investigate the frequency of Achilles and plantar spurs and related factors in gout patients. Matherial and methods: We performed a retrospective review of gout patients, treated at Hacettepe University hospitals between 2014 and 2019. We identified patients from the hospital records using the ICD-10 code (M10). Demographic and clinical features, comorbidities, and foot radiographies were collected. The radiographies were evaluated by a rheumatologist (U.K.) who was experienced in musculoskeletal radiography. Factors predicting the spurs were …


An Open-Label Prospective Observational Trial For Assessing The Effect Of Homoeopathic Medicines In Patients Suffering From Gout, Sangita Saha, Sarkar Paulami, Rajat Chattopadhyay, Subhranil Saha Dec 2019

An Open-Label Prospective Observational Trial For Assessing The Effect Of Homoeopathic Medicines In Patients Suffering From Gout, Sangita Saha, Sarkar Paulami, Rajat Chattopadhyay, Subhranil Saha

Indian Journal of Research in Homoeopathy

Background: Gout is an inflammatory arthritis associated with hyperuricaemia and intra-articular monosodium urate crystals, resulting in pain, activity limitation, disability and impact on patients' quality of life. Objective: The objective of this study was to examine the effects of individualised homoeopathic medicines in serum uric acid level and quality of life in patients suffering from gout. Methods: A prospective, single-arm, non-randomised, open-label, observational trial was conducted on 32 adults suffering from gout (diagnosed as per the American College of Rheumatology–European League Against Rheumatism gout classification criteria) at the Outpatient Department of The Calcutta Homoeopathic Medical College and Hospital, Kolkata. Serum …


Assessment Of Sensitivity And Specificity Of Ultrasonographic Features Of Gout In Intercritical And Chronic Phases, Abeer H. Ismaiel, Mohamed A. Safy, Nisreen H. Mohmoud, Tamer A. Aboul-Sood El-Kassas Jun 2019

Assessment Of Sensitivity And Specificity Of Ultrasonographic Features Of Gout In Intercritical And Chronic Phases, Abeer H. Ismaiel, Mohamed A. Safy, Nisreen H. Mohmoud, Tamer A. Aboul-Sood El-Kassas

Journal of Medicine in Scientific Research

Aim To study the usefulness of ultrasonography (US) in the diagnosis of gouty arthritis and to assess its sensitivity and specificity in intercritical and chronic stages and also its use in comparing patients with high serum uric acid (HSUA) and low serum uric acid (LSUA). Patients and methods We studied 60 patients known to be gouty in either chronic phase or intercritical phase, diagnosed clinically and through laboratory assessments, and 30 controls. Demographic, clinical, and serological data were evaluated. Knee and first metatarsophalangeal joints were assessed by musculoskeletal US by a blinded radiologist. Results A total of 53 (88.3%) patients …


The Pathogenesis And Treatment Of Gout, Daniel Silberstein Jan 2013

The Pathogenesis And Treatment Of Gout, Daniel Silberstein

The Science Journal of the Lander College of Arts and Sciences

In the past, the etiology of gout was simplistically believed to be based in the generous indulgence of rich foods and alcohol. However, research has revealed that gout has complex environmental and genetic origins. Specifically, researchers have begun to focus attention on the molecular basis of gout and its related features. These features include hyperuricemia, the stages of gout, and the decreased solubility of uric acid. Furthermore, with epidemiologic evidence indicating that the prevalence of gout is consistently rising, it is imperative that medical providers understand the research-based guidelines for treatment. This includes what medications to administer, monitoring for drug-induced …


Surgical Treatment Of Renal Gout In Monocellate Cobra, Naja Kaouthia, Taksa Vasaruchapong, Lawan Chanhome Sep 2012

Surgical Treatment Of Renal Gout In Monocellate Cobra, Naja Kaouthia, Taksa Vasaruchapong, Lawan Chanhome

The Thai Journal of Veterinary Medicine

A wild captured, male Monocellate cobra, Naja kaouthia of unknown age was observed with anorexia, imbalance of swimming and mild swelling in the distal fourth of the body. Physical examination revealed a palpable firm mass in the coelomic cavity, of which radiographic examination was suspicious as an obstruction of large intestine by a foreign body. Removal of the foreign body through its cloaca was attempted by enema and digital manipulation, but was not successful. Thereafter, an exploratory surgery was performed and revealed an abnormality in the left kidney that was compressing the large intestine. Nephrectomy was performed and histopathologically identified …


Concurrent Ankylosing Spondylitis And Tophaceous Gout In Spine Causing Spinal Cord Compression: A Casereport, Chia-Chen Lin, Nai-Hsin Meng Dec 2011

Concurrent Ankylosing Spondylitis And Tophaceous Gout In Spine Causing Spinal Cord Compression: A Casereport, Chia-Chen Lin, Nai-Hsin Meng

Rehabilitation Practice and Science

Ankylosing spondylitis (AS) rarely coexists with tophaceous gout in the spine. We present a case of a 57-year-old businessman with AS who did not have previous history of hyperuricemia or gouty arthritis. He had a three-month history of progressive bilateral lower limb weakness caused by spinal cord compression (rooted on a tophaceous gout), leading to incomplete paraplegia. He received surgical decompressive laminectomy, which removed the hypertrophic ligamentum flavum and tophus in the level of thoracolumbar junction. There was no obvious neurologic recovery after the surgery. We reviewarticleed the incidence, clinical manifestations, and management of the spinal tophaceous gout coexisting with …


Attack Of Gouty Arthritis After Intraarticular Injection Of Naturally Derived Hyaluronic Acid, Chih-Kuang Chen, Chin-Yew Lin, Ngok-Kiu Chu, Cheng-Yi Lin, Simon Fuk-Tan Tang Dec 2007

Attack Of Gouty Arthritis After Intraarticular Injection Of Naturally Derived Hyaluronic Acid, Chih-Kuang Chen, Chin-Yew Lin, Ngok-Kiu Chu, Cheng-Yi Lin, Simon Fuk-Tan Tang

Rehabilitation Practice and Science

Viscosupplementation by intraarticular administration of exogenous hyaluronic acid has been a favorable treatment option to alleviate the symptoms of knee osteoarthritis. The potential but uncommon adverse reactions associated with intraarticular hyaluronic acid injection are local pain, swelling, and allergic response. These reactions are typically mild, transient, and self-limiting. The focus of this report is an 80-year-old man who presented with acute painful swelling of his knee joint after an injection of naturally derived hyaluronic acid. Aspiration of knee joint effusion yielded 40 mL of turbid straw-colored fluid. Synovial fluid cell counts revealed numerous leukocytes with a marked predominance of neutrophils. …


The Story Of Gout, W. S. C. Copeman Jan 1969

The Story Of Gout, W. S. C. Copeman

MCV/Q, Medical College of Virginia Quarterly

It had long been suspected that gout might be a disease of varying origins, but it has only been during the present century that primary or acquired gout and hereditary gout have been clearly defined and differentiated. A considerable number of secondary types are now recognised. Several are of iatrogenic nature, whereas others result from disorders of the blood, the bone marrow and the metabolism, as well as from associated specific defects such as those in the Lesch-Nyhan Syndrome of children. Increasing knowledge of gout's chemical secrets, however, is resulting in improved treatment, and we can now assert that gout …