Drug-induced chronic gout, right wrist, with tophus (tophi) Save

Drug-induced Chronic Gout, Right Wrist, with Tophus (Tophi)

Chronic gout is a painful and debilitating condition that affects millions of people worldwide. It is characterized by recurrent attacks of intense joint inflammation, most commonly in the big toe. However, gout can also affect other joints, such as the wrists, elbows, and knees.

One particular form of chronic gout is drug-induced chronic gout. This occurs when certain medications, such as diuretics, aspirin, and immunosuppressive drugs, trigger the onset or worsening of gout symptoms. In this case, the patient presents with chronic gout in their right wrist, accompanied by the presence of tophus or tophi.

Tophi are small, chalky lumps that develop underneath the skin, typically in the joints affected by gout. These tophi are a result of the accumulation of urate crystals, which are formed when there is an excessive amount of uric acid in the bloodstream. Over time, these crystals can cause joint damage and deformity, leading to chronic pain and limited mobility.

1. Causes of drug-induced chronic gout

Drug-induced chronic gout can be caused by various medications, including:

• Diuretics
• Aspirin
• Immunosuppressive drugs
2. Symptoms of drug-induced chronic gout

The symptoms of drug-induced chronic gout are similar to those of regular chronic gout and may include:

• Severe pain
• Swelling
• Redness
• Tenderness
3. Diagnosis and management

Diagnosing drug-induced chronic gout involves a combination of medical history, physical examination, and laboratory tests. Once diagnosed, management strategies typically focus on identifying and discontinuing the medication that triggered the gout symptoms.

In conclusion, drug-induced chronic gout is a specific form of gout that is triggered by certain medications. It can cause debilitating symptoms and the formation of tophi, particularly in the affected joint, such as the right wrist. If you suspect you have drug-induced chronic gout, it is essential to consult with a healthcare professional for an accurate diagnosis and appropriate management strategies.