DOI: 10.36347/sjams.2015.v03i09.028

Pages: 3284-3288

Gout is a common painful inflammatory arthritis. Both the incidence and prevalence of gout have increased worldwide in recent years and the clinical pattern of gout is becoming more complex. Gout is typically diagnosied using clinical criteria from American college of Rheumatalogy. Acute gout is treated with NSAIDS and recurrent gout with urate lowering therapy. The objective of the study was to determine the epidemiology and clinical presentation of gout. This is a prospective study of 50 patients with gout who presented to Orthopaedics department. Baseline demographics and characterstics, body mass index, comorbidities associated with gout, clinical features and laboratory data were collected and analysed. There were 28 men and 22 (44%) women with a mean age of 52.11 years and mean body mass index 28.08 kg/m2. Precipitating factors were present in 66%. Comorbidities were present in 80% of patients with gout. First metatarso-phalyngeal joint was involved in 34%. Comorbidities were present in 80% of patients. Hyperlipedemia was present in 40%, obesity34%, hypertension 30%, coronary artery disease in 18%, renal disease18% and diabetes mellitus in 12%. Mean serum uric acid was 8.95 mg/dl. In our study women were more in numbers but mean age and mean BMI comparable to other studies. Obesity, hyperlipedemia and hypertension were common comorbidities associated with gout and predisposing factors for gout. It is worthwhile screening patients who present with gout for cardiovascular risk factors and comorbidities to improve the patient outcomes.