PHAR 200 Study Guide - Midterm Guide: Inflammatory Arthritis, Hyperuricemia, Uric Acid

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22 Aug 2018
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Gout is the most common inflammatory arthritis in the united states and western europe. The annual incidence is approximately 62 cases per 100,000 persons in united states. Risk factors for gout include increased serum uric acid (sua) concentration, male gender, obesity, ethanol use (particularly beer and spirits), hypertension, and dyslipidemia. Gout results from the crystallization of uric acid in joints (tophi) with a subsequent acute inflammatory reaction. Uric acid is an end product of purine metabolism. Gout therapies either relieve acute symptoms or reduce the risk of gouty attacks by lowering the uric acid pool. Gout occurs in people who have levels of urate in their blood that are persistently above a critical level which allows urate crystals to form. About two thirds of the urate in our bodies comes from the breakdown of purines which are naturally present in the cells of our bodies. The other third comes from the breakdown of purines in some foods and drinks.

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