Gout

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  1. 00:00 Gout is a form of inflammatory arthritis characterized by recurrent attacks of a single red, tender, hot, and swollen joint.[1][2]
  2. 00:09 Pain typically comes on rapidly, reaching maximal intensity in less than twelve hours.[3] The joint at the base of the big toe is affected in half of cases.[4]
  3. 00:19 It may also result in tophi, kidney stones, or other kidney problems.[3]
  4. 00:25 Gout is due to persistently elevated levels of uric acid in the blood.[3][2]
  5. 00:31 This occurs from a combination of diet, other health problems, and genetic factors.[3][2] At high levels, uric acid crystallizes and the crystals deposit in joints, tendons, and surrounding tissues, resulting in an attack of gout.[3]
  6. 00:46 Gout occurs more commonly in those who regularly eat meat or seafood, drink beer, or are overweight.[3][5]
  7. 00:53 Diagnosis of gout may be confirmed by the presence of crystals in the joint fluid or in a deposit outside the joint.[3] Blood uric acid levels may be normal during an attack.[3]
  8. 01:05 Treatment with nonsteroidal anti-inflammatory drugs (NSAIDs), steroids, or colchicine improves symptoms.[3][2][6]
  9. 01:14 Once the acute attack subsides, levels of uric acid can be lowered via lifestyle changes or allopurinol.[3] Taking vitamin C and eating a diet high in low-fat dairy products may be preventive.[7]
  10. 01:27 Gout affects about 1 to 2% of the Western population at some point in their lives.[3] It has become more common in recent decades.[3]
  11. 01:36 Older males are most commonly affected.[3]
  12. 01:40 Gout was historically known as "the disease of kings" or "rich man's disease"[3][8] and has been recognized since at least the time of the ancient Egyptians.[3]