The diagnosis of gout inflammation primarily on the basis of: asymptomatic or acute inflammation of the synovial joints, found characteristic of crystalline sodium-water uric acid, or from sediments of tophi or tissue, to prove the existence of water-urine sodium.
For patients without tophi, diagnosis gouty arthritis primarily on the basis of the following three:
(1) Typical gouty foot, the first metatarsophalangeal arthritis, with redness and swelling of soft tissue around the joints.
(2) increased serum uric acid.
(3) colchicine treatment, can rapidly improve joint symptoms.
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