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What is Most common joint involved in Gout y ahritis is ? and explain in detail?
Gout: Disturbed purine metabolism leading to ecxessive accumulation of uric acid in the blood -an inherited disorder ;or impaired excretion of uric acid by kidneys.result is accumulation of sodium bicarbonte crystals in soft tissues.Tisues of predliction are cailages,tendon ,bursa. Patient ,beyond 40 years of age, presents as 1.ahritis-MP joint of big toe is ourite site,acute severe pain 2.bursitis-commonly of olecranon bursa 3.tophi formation deposit of uric acid salt in soft tissue. Treatment: NSAIDS,uricosuric drugs,uric acid inhibitors. REF:Essential Ohopaedics.Maheswari &Mhaskar.Edition 9.Pg no:293