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HEALTH - In the short statement by the environment of Jacques Chirac on Monday after being hospitalized at the American Hospital in Neuilly, it is stated that doctors "suspect a violent attack of gout."
"Known since antiquity, made famous by kings who were with gout is a Rheumatoid Arthritis to deposits of microscopic crystals doris duke bernard lafferty of uric acid in the joints," says CHU Toulouse on its website.
"Gout is a benign disease, at least in the beginning doris duke bernard lafferty when the first attacks occur. Such attacks will heal, but may recur in varying time and is referred to as chronic gout," can be read on the website doris duke bernard lafferty crisedegoutte . written doris duke bernard lafferty by Professor Frédéric Lioté, rheumatologist at the Paris hospital Lariboisière doris duke bernard lafferty fr.
"Not being able to be totally eliminated in the urine, excess uric acid accumulates and turns into monosodium urate microcrystals which aggregate to form tophi, especially in bones and joints, even under the skin . Freed in these joints, these microcrystals irritate the joint and trigger an inflammatory response, "says Professor Frédéric Lioté on its website.
The main symptoms are inflammation and swelling that cause pain in the joints, hands and feet are mostly affected. The big toe is usually the first limb, it is red, hot and swollen. "The pain is throbbing crisis will last a few days to a few weeks. Early crises are often shorter and less intense than the following," doris duke bernard lafferty warns the CHU of Toulouse. doris duke bernard lafferty
In a file he devoted to this disease last year, the magazine for seniors Our time stated that the average age of the first attack is 63 years. However, it is not unusual in their forties can be achieved. "It affects 3% of the adult population, mostly men," says the University Hospital of Toulouse.
The hereditary nature of this disease is well proven. "We know that there are a number of genetic factors involved in the pathogenesis of gout. These are renal mechanisms that make the patient [genetically predisposed] to drop, will have great difficulty to excrete his blood uric acid by the kidneys. Genetic hand in the drop is probably around 20%. The remaining 80% are related to environmental doris duke bernard lafferty determinism, food and drug, "explained recently on France doris duke bernard lafferty 5 rheumatologist Pascal Richette .
To address these crises drops, we must distinguish two things: the relief of the crisis itself and the treatment of hyperuricemia (excess uric acid). In the first case, it should put to rest the affected joint and reduce pain by ice on the joint and the administration of sedatives.
"Good management, doris duke bernard lafferty pain usually goes away within 24 hours," wrote the magazine Notre Temps. No wonder that Jacques Chirac could leave the hospital very quickly.
But we must still treat excess uric acid. Why doctors can prescribe drugs that decrease the production or other that increase its elimination by the kidneys. There remains the question of power is essential to avoid products that increase uric acid. Thus, CHU Toulouse recommend offal, shellfish regarding food and beverages with more soft drinks, mulled wines, hard liquor and beer. Find items HuffPost on our Facebook page.
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