· uu \ \ ]ùp ^ \ ]°p ^ \ &¶ &¶k ! \ &¶ w v \ðá acute gout chronic gout uric...
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2016 3 12
1) 2) 3)
– –
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Acute gout
Chronic gout
Uric Acid
Monosodium urate crystal
Purine
-
•
(Synovial fluid)
----
≠ ≠
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• •
•
• •
( )
• ! ( )• •
( )
• – : 40– :
• –
• –
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-
• ( )•
– – – – –
-
• ( )• • •
– (Intercritical Period)
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• • •
– - (Tophi) – – –
• •
– –
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• – – – –
• • • ( / )
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NSAIDs(Non-Steroidal Anti-Inflammtory Drugs)
– – –
Ibuprofen
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(Proton Pump Inhibitor)
(H2 Receptor Antagonist)
-2 (COX-2 inhibitors) –
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(Colchicine ) •
– •
–
? ?
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• • •
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/
• •
/
• – (Allopurinol)– (Febuxostat)
• – (Probenecid– (Benzbromarone)
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• (Allopurinol)– – –
• – –
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• (Febuxostat)
/
• (Probenecid– – ( )–
• •
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/
• /•
– •
–
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• – BMI: (kg) ÷ (m) ÷ (m)
²< 18 5
18.5 - 22.9 23 - 24.9
25 - 29.9 > 30
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• • • • •
!
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