Acute gout steroids

Polycythemia (elevated red blood cell count) is a rare blood disease in which the body produces too many red blood cells. Causes of polycythemia are either primary (acquired or genetic mutations) or secondary (diseases, conditions, high altitude). Examples of primary polycythemia include:

  • Fatigue
  • Excessive sweating
  • Unintended weight loss
  • Gouty arthritis, usually in big toe
  • Shortness of breath
  • Headaches
  • Dizziness
  • Weakness
  • Feeling pressure or fullness on the left side of the abdomen where the spleen is located.
  • Vision problems
  • Heavy bleeding from minor cuts
  • Bleeding from the gums
  • Itching
  • Redness in the face
  • A burning feeling in the hands and feet

Complications of a high red blood cell count include blood clots, heart attack, stroke, enlarged liver and spleen, angina (heart pain), AML leukemia, and heart failure. Blood clots in the liver or kidney can cause sudden, intense pain. Treatment goals for patients with polycythemia are to manage symptoms and reduce the risk of complications like heart attack and stroke.

REFERENCE: NIH. National Heart, Lung, and Blood Institute. "What Causes Polycythemia Vera"? Updated: Mar 20, 2011.

I really appreciate this blog post about gout. I just had a second surgery on my foot in 3 months (the first was expected – Kidner procedure with flexor transfer). When I wasn’t progressing through PT as expected and severe pain developed, an MRI showed severe inflammation and coalition in the middle facet of the subtalar. The second surgery on Feb 6 for a subtalar fusion yielded a new surprise – gout crystals (and a subuquent uric acid blood test showing a ) AND an unexpected tear on the PTT hindfoot (ironically, not where the surgeon previously pinned the PTT for the first surgery). The concern is the gout. I’ve adjusted my diet (which wasn’t too bad to begin with), and my Primary Doc just put me on Allopurinol (which I understand can increase gout on a temporary basis). I want to do my best to ensure that this second surgery is successful, and my surgeon (who is a nice guy) is a bit hesitant to give me a straight answer. I’d really love to hear your insight on: 1) Gout affecting the PTT repair and subtalar fusion; 2) Is Allopurinol a bit premature at this stage since it can temporarily increase gout attacks; 3) The use of Indocin during this critical healing phase, if I THINK I have gout attacks. I’d like to use the information you provide to take back to my surgeon and Primary Doc. Thank you for your help!

Acute gout steroids

acute gout steroids


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