Gout, Big Toe & Ankle Pain & Diet

Reference:Choi HK, et al Fructose-rich beverages and risk of gout in women. JAMA. 2010 Nov 24;304(20):2270-8.

I had a 35-year-old male patient with a chronic ankle pain that simply did not respond to my 4 weeks of treatments.

After a year of coping with pain, he finally received the right lab work ? he had gout!

I always knew gout occurred at the 1st MTP joint, but I had never seen it in the whole ankle. Fortunately he responded well to the medication and dietary changes.

This prospective cohort 2010 study spanning 22 years analyzed data from 79000 women concluded that consumption of fructose-rich beverages was associated with an increased risk of gout. In your next patient with non-responsive inflammatory ankle or big toe pain, have them see their MD for blood work and possible synovial fluid analysis for monosodium urate crystals.

Inform patients that alcohol, red meat, spinach, lentils, fructose-rich juices and soda pops can all increase serum uric acid levels and thus, the risk of gout.

Posted on: October 06, 2011

Categories: Foot & Ankle

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