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Gout: Disease
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Gout is an incurable disease although gout symptoms can be treated successfully. There are medical, dietary, alternative, and lifestyle approaches to treating gout. Properly treated, individuals with gout can live a more complete and healthy life.
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Gout is predominantly a disease of adult men. It is the most common cause of inflammatory arthritis in men over age 40, and men have at least four times greater likelihood of developing gout than women. Gout is uncommon in men under 30 years of age, and often occurs between the ages of 40 and 50. Women rarely develop gout before reaching menopause, and more often do after the age of 60.
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Gout is well understood and usually one of the easiest of all common rheumatic diseases to manage (1). At the same time, the prevalence of gout has risen substantially over the last two decades in the U.S.. Insulin resistance (IR), a central factor in Metabolic Syndrome, promotes hyperuricemia. Moreover, the dramatic rise in prevalence of obesity and Metabolic Syndrome in the U.S. appears to be a major contributor to increasing gout prevalence. Other factors in the rise of gout prevalence include increases in hypertension and advanced renal disease, steadily increasing use of diuretics, as well as greater longevity of the population and more prolonged survival of subjects with advanced forms of renal and cardiac disease. Significantly, gout prevalence appears to be rising particularly rapidly among the elderly and in postmenopausal women.
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Gout is characterized by inflamed, painful joints due to the formation of crystal deposits at the joints. Also known as "the disease of kings and the king of diseases," gout affects more men than women and is often associated with obesity, hypertension (high blood pressure), hyperlipidemia (high levels of lipids in the blood), and diabetes.
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Gout has been called the ‘disease of kings’. The term ‘gout’, is derived from Latin ‘gutter’ (a drop) which reflects the notion that gout resulted from a local instillation of malevolent humour. These concepts are well illustrated in paintings of persons afflicted with gout. It is ... seen as a "disease of plenty - which is an incorrect generalization.
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Gout was traditionally viewed as a disease of the decadent and indolent, because the foods which contribute to its development were only available in quantity to the wealthy. The stereotypical victim was a lazy, obese middle-aged man who habitually overindulged in rich foods and alcohol, with portconsumption often cited as a specific cause.
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