How gouty arthritis diagnosis

Encountered in clinical obesity in older men, suddenly appeared first metatarsophalangeal joint, or ankle joint, dorsal foot pain, such as single-joint swelling, colchicine treatment effects, ease the symptoms about one week, with or not accompanied by increased serum uric acid, can be diagnosed as acute gouty arthritis. Current domestic and foreign use of the United States Institute of Rheumatology in 1977 established diagnostic criteria: (1) more than one attack of acute arthritis in one day, that is to attack the peak. (2) acute arthritis confined to individual joints. Chengangongse the entire joint. The first thumb joint pain and swelling. (3) unilateral acute tarsal osteoarthritis. (4) tophi. (5) hyperuricemia. (6) non-symmetry of joint swelling and pain. (7) seizures can be stopped on its own. Where have these three conditions above, and excluding secondary gout who can be confirmed.