2004-10-19 21:24:02暈炫
Gout
Hyperuricemia male > 8 mg/dL, female > 7 mg/dL
Gout crystal
--長針狀,順黃垂監
Acute stage
1. NSAIDs
2. Colchicine - Stop if onset over 12 hrs, GI effect
Chronic stage
1. NSAIDs
2. colchicine for prevention from acute attack
3. 降尿酸:
---Allopurinol, 抑制production of uric acid, contraindicated in
combined use with Azathioprine
---Benzbromazone, 捉進尿酸排出, contraindicated in those who had
uric acid renal stone
2nd Gout
intefere with renal excretion of UA
--salycilate acid, nicotinic acid, Ethanol, Diuretics, Cyclosporine,
increased production
--lymphoproliferative, myeloproliferative, polythecemia, hemolysis
Others
--dehydration, starvation
Other crystal induced arthritis
1. CPPD
2. hydroxyapatite
Gout crystal
--長針狀,順黃垂監
Acute stage
1. NSAIDs
2. Colchicine - Stop if onset over 12 hrs, GI effect
Chronic stage
1. NSAIDs
2. colchicine for prevention from acute attack
3. 降尿酸:
---Allopurinol, 抑制production of uric acid, contraindicated in
combined use with Azathioprine
---Benzbromazone, 捉進尿酸排出, contraindicated in those who had
uric acid renal stone
2nd Gout
intefere with renal excretion of UA
--salycilate acid, nicotinic acid, Ethanol, Diuretics, Cyclosporine,
increased production
--lymphoproliferative, myeloproliferative, polythecemia, hemolysis
Others
--dehydration, starvation
Other crystal induced arthritis
1. CPPD
2. hydroxyapatite