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Chronic gouty arthritis   

Overview | Symptoms | Treatment | Prevention

Alternative names:

Gout - chronic; Gouty arthritis - chronic

Treatment

Chronic gouty arthritis is treated with drugs like probenecid or sulfinpyrazone, which reduce uric acid levels. Anther approach is to use allopurinol, which blocks the enzyme that produces uric acid, so it also helps reduce the level of this chemical. Patients should drink more water or other fluids to decrease the risk of kidney complications.

Colchicine can  be added to prevent further acute attacks.  This drug can be discontinued when uric acid levels are stable (usually after 3 months), but it can also be continued at low doses to help prevent further attacks.

Prognosis

Symptoms are generally worse in people who develop the disease before age 30.

Complications

• kidney stones
• kidney failure
• joint deformities
• person becomes bedridden, rarely

Call Your Health Care Provider If:

Call your health care provider if symptoms of chronic gouty arthritis develop.

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