Most patients have no obvious symptoms before onset, or only fatigue, general discomfort and joint tingling. Typical attacks are often awakened by joint pain in the middle of the night, and the pain gradually intensifies, reaching a peak in about 12 hours, showing tearing, cutting or biting, and the pain is unbearable. The affected joints and surrounding tissues are red, swollen, fever, pain and limited in function. Relieve itself in more than a few days or two weeks.
2. Intermittent attacks
Gout attacks can be relieved by themselves after several days to weeks. Generally, there is no obvious sequelae, or local skin pigmentation, desquamation and itching are left behind. After that, it enters an asymptomatic interval that lasts for months, years or more than ten years. Most patients relapsed within 65,438+0 years, with more and more times, more and more joints involved and longer symptoms. .
3. Chronic tophus lesion stage
Subcutaneous tophus and chronic tophus arthritis are the results of long-term hyperuricemia, and a large number of monosodium urate crystals are deposited under the skin, synovium, cartilage, bone and soft tissue around the joints. The typical part of subcutaneous tophi is auricle, and it is also common around recurrent joints and parts such as olecranon, achilles tendon and patellar bursa.