Analysis: gout patients asymptomatic period only fluctuating or persistent hyperuricemia, but gout attack patients can appear acute gouty arthritis, gout stone, chronic arthritis symptoms, accompanied by renal pathology clinical manifestations.

I. Typical Symptoms

1. Asymptomatic period: only fluctuating or persistent hyperuricemia, but gout has not yet occurred. The time from the increase in blood uric acid to the appearance of symptoms can be up to several years, and some can be lifelong without symptoms.

2, acute arthritis performance:

(1) mostly in the midnight or early morning sudden onset of the disease, joints, severe pain, within a few hours to reach the peak, the affected joints appear red, swollen, heat, pain and dysfunction.

(2) The first attack involves a single joint, and the unilateral first metatarsophalangeal joint is the most common.

(3) The attack is self-limiting, mostly resolving within two weeks, and the skin at the affected joints is flaky after the redness and swelling subside.

(4) It may be accompanied by hyperuricemia, but some acute episodes have normal blood uric acid levels.

(5) Urate crystals are found in the joint fluid or gout stones and may be accompanied by fever.

3, gout stone: gout stone is a characteristic clinical manifestation of gout, the typical site in the auricle, but also common around the joints as well as hawksbill, Achilles tendon, patella bursa. The appearance of gout stone for the size of different, elevated yellowish-white superfluous organisms, the surface of the thin, broken discharge of white powder or paste.

4, chronic arthritis performance: chronic arthritis is mostly seen in patients without standardized treatment, the affected joints are asymmetric irregular swelling, pain, a large number of gout stones deposited in the joints can cause joint bone destruction, resulting in patients with joint deformity, especially in the hands and feet, and can cause disability.

5, kidney lesion symptoms: the longer course of gout patients can have kidney damage, the symptoms are also very typical, need to be vigilant, including hematuria, urinary difficulties, edema and so on.

Two, other symptoms

In addition to the common joint-related symptoms, patients sometimes have other symptoms, including fever, rapid heart rate, general malaise, chills and so on.