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Urinsyregikt

Sist revidert:
Sist revidert av:
Definisjon:
En residiverende akutt artritt i perifere ledd som skyldes avleiring av uratkrystaller i eller rundt ledd og andre strukturer.
Forekomst:
1-2%, og forekomsten øker med alderen. Både forekomst og økning er størst blant menn
Symptomer:
Akutte, gjentatte anfall med artritt i stortåen, ev. ankel, andre ledd eller rundt sener
Funn:
Rødt, hovent ledd eller seneskjede. Ev. subkutane tofi over sener
Diagnostikk:
Urinsyre er oftest forhøyet, men ikke alltid, ev. også forhøyet CRP, SR og leukocytter
Behandling:
Akutte anfall behandles med kolkisin eller NSAID. Allopurinol, probenecid eller febuksostat brukes profylaktisk som urinsyrenedsettende medikasjon.Anbefales hjertediett
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  • Till Uhlig, professor i revmatologi, Klinikk for revmatologi, poliklinikk og forskning, Diakonhjemmet sykehus, og Universitetet i Oslo
  • Tor Andre Johannessen, lege og redaktør NEL (tilpasning til NEL)

Tidligere fagmedarbeidere

  • John Cooper, spesialist i allmennmedisin og indremedisin, Medisinsk avdeling, Sentralsjukehuset i Rogaland, Stavanger
  • Even Lærum, professor i allmennmedisin, Institutt for samfunnsmedisinske fag, Universitetet i Oslo