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A 31-year-old member asked:

what causes 'punched-out lesions' in gouty arthritis?

2 doctor answers6 doctors weighed in
Dr. Robert Kornfeld
Podiatry 41 years experience
Punched out lesions: Uric acid crystallizes in the joint and erodes the bone.
Dr. Jeffrey Kass
Podiatry 28 years experience
Uric acid : Crystals eroding the bone.

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Similar questions

A 35-year-old member asked:

What excactly is gouty arthritis?

2 doctor answers5 doctors weighed in
Dr. John Goldman
Rheumatology 55 years experience
Joint urate deposits: Gout is an arthritis. The patients have elevated uric acid in the blood. The uric acid is metabolized to the sodium salt of uric acid which is called monosodium urate. Monosodium urate crystals are deposited throughout the body tissues and this is called total body urate stores. These urate crystals can be found in joints and stimulate the body protection cells to cause inflammation = gout!
A 46-year-old member asked:

What are the tests for gouty arthritis?

2 doctor answers7 doctors weighed in
Dr. Robert Leland
Orthopedic Foot and Ankle Surgery 31 years experience
Labs: Presumptive diagnosis of gout can be made by exam (swollen warm joint), labs (elevated serum uric acid levels) and history, definitive diagnosis requires analysis of an aspiration from the joint demonstrating appropriate "crystals".
A 33-year-old member asked:

What is the treatment for gouty arthritis?

6 doctor answers15 doctors weighed in
Dr. Peter Kurzweil
Internal Medicine 50 years experience
Often not Rx fully: It's a very good question, firstly because it is often not rx correctly, and because often people that suffer from this often don't think they could ever be in a pain-free state. But that should be the goal. Hydration most important to prevent uric acid kidneys stones or acute gout. Allopurinol & uloric lowers serum uric acid levels; benemid (probenecid) inc excretion; Colchicine + nsaids rx acute attacks, etc.
A 34-year-old member asked:

What are the symptoms of gouty arthritis?

2 doctor answers12 doctors weighed in
Dr. Jay Rosenfeld
A Verified Doctor answered
A US doctor answered Learn more
See below: Symptoms are usually a swollen, hot red joint with restricted range of motion and pain.
A 45-year-old member asked:

Can someone explain to me what causes the 'punched-out lesions' in gouty arthritis?

2 doctor answers5 doctors weighed in
Dr. Lorry Melnick
Podiatry 45 years experience
Uric acid: When uric acid goes into the joint and precipitates, it forms gouty tophi which can eat away at bone causing punched out lesions.

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Last updated Nov 27, 2012

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