Gout:
     

           Caused by deposition of Uric Acid Crystals in the affected joints, it is a disease that is transmitted by heredity, and triggered by certain foods. Uric Acid is a breakdown metabolite of the Amino Acid Purine, a building block of Protein. It is more common in Men then Women.  Crystals can be seen under the microscope in the fluid of the affected Joints. Although the large toe joint ( first metatarso- phalangeal ) is the most common affected joint, Gout can occur in the ankle, knee, elbow and shoulder. Immediate symptom of Gout is Pain. Long term consequences are Kidney stones, and joint damage. Alcohol intake can precipitate a Gouty attack. Treatment of an attack is accomplished by Oral antiinflammatory agents and Colchicine. Preventetaive medications ( Allopurinol and Probenecid ) are useful in Patients with recurrent attack, evident of joint damage, uric acid kidney stones and elevated blood levels of uric Acid.  Dietary restriction is rarely necessary due to availability of effective drugs.