Gout May Be Your Second Arthritis
Did you know that it is possible to have more than one form of arthritis? Get more information about gout, the inflammatory condition that can occur with osteoarthritis, rheumatoid arthritis and psoriatic arthritis.
It is possible to have more than one type of arthritis, and knowing what you have can help in treating your symptoms.Gout, which can occur with OA, rheumatoid arthritis (RA) and psoriatic arthritis (PsA), results when uric acid crystals are deposited in joint tissue. It causes sudden, severe pain, swelling and tenderness, usually in the big toe, but it also can occur in the feet, ankles, hands, knees, wrists, elbows or other joints. It’s typically in only one joint, but chronic gout can affect multiple joints.
Differentiating between gout and other forms of arthritis is critical because the treatments are very different. If you think you have gout, see your doctor. The sooner it’s treated, the sooner you’ll get pain relief.
How Gout may Affect Other Arthritis Conditions
Gout and RA
For decades, rheumatoid arthritis and gout were thought to be mutually exclusive. But some people with RA also get gout as both conditions share obesity as a common risk factor and may cause kidney problems. Diagnostic tools like synovial fluid analysis and dual-energy CT scans are especially helpful in making the correct diagnosis.
Gout and OA
Though osteoarthritis and gout often go hand in hand, there’s a “chicken or the egg” dilemma. OA’s joint damage might create a hospitable environment for gout’s characteristic uric acid crystals to deposit. Or the crystals may cause inflammation, making joints more susceptible to cartilage breakdown typical of OA. No matter which comes first, being overweight is a common risk factor for gout and OA, so be sure to maintain a healthy weight.
Gout and PsA
Psoriatic arthritis and gout also share obesity as a risk factor. Uric acid levels tend to be higher in gout patients who also have PsA, because it accumulates with the rapid skin cell turnover involved in psoriasis. This risk-factor overlap increases chances of developing both conditions. A 2014 study published in the British Medical Journal showed that people with psoriasis and psoriatic arthritis have a five times higher gout risk than people without the two conditions.
Diagnosed With Gout?
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