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Gout or Gouty Arthritis: Gout is an extremely painful joint inflammation, especially of the big toe, that may occur due to a metabolic defect resulting in the accumulation of uric acid in the blood and the deposition of urates around the joints. Inflammation of a joint occurs due to Gout, is called Gouty Arthritis.
Osteoarthritis: A form of arthritis affecting many older people, caused by chronic degeneration of the cartilage and synovial membrane of the joints leading to pain and stiffness. In the above case scenario the patient is suffering with Gout nor Osteoarthritis as He doesn't have complaints of pain in any other joint. His Uric acid level also meeting the criteria of Gout, above 5.8 mg / dl, Patient's uric acid level is 6.7 mg / dl. Pain and swelling in the Great toe is a characteristic feature of Gout.
Pathophysiologic Process: The main etiology is the defect in purine metabolism that results in increased Uric acid level. It may be associated with Genetic predisposition, life style, especially Dietary factors, purine rich food items like organ meat, fish, alcoholic beverages, mussels , turkey etc. Due to etiological and risk factors Increased Purine intake and during metabolism Purine
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