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ubmoon

New User, Becoming EHEALTHy
Joined: 04 Mar 2006
Posts: 3
Location: maryland
Severe Gout
Posted: 03-06-06 21:22pm

I'm a 20+ year gout sufferer. This last bout made me change my diet. I found out about the diet-gout connection via the web. My doctor neglected to tell me that the beer, seafood and meat diet I was formerly on was counter-productive to gout management, guess he liked the repeat bussiness. My question is: can a severe gout attack in the little finger (to the point of grotesque swelling and discoloration--black-blue-purple) cause enough tissue damage to necessitate the debridement (removal) of the discolored tissue?
Thanks in advance,
ub
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JYY2

Experienced User , Rather EHEALTHy
Joined: 05 Jun 2004
Posts: 227

Posted: 03-07-06 11:50am

It's rather unusual to have sever gout attack in the little finger, especially you are so young. My suggestion is: see a rheumatologist and have the problem joint fluid tested for the gout culprit: monosodium urate crystals. If you have gout, the proper treatment should reduce the swelling without a surgery. More gout info can be found at http://www.Icuredmygout.Org . Good luck.
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ubmoon

New User, Becoming EHEALTHy
Joined: 04 Mar 2006
Posts: 3
Location: maryland

Posted: 03-07-06 19:55pm

Jyy2:
maybe I wasn't clear in my first post. I'm not a 20yr. Old with gout, i'm 45 and a 20+ year veteran of gout. I've been through 10 years of limping (gout in the feet) then it attacked my knees and elbows, (drained numerous times, tested and confirmed gout) both bursa sacs in my elbows have been surgically removed due to gout. I can not begin to count the number of cortazone shots i've had in my knees and hands. I'm pretty damn sure I gots the gout. My question was: can a gout attack in the little finger ( to the point of grotesque swelling and discoloration black-blue-purple) result in enough tissue damage to necessitate the debridement of the affected tissue. But hey' thanks for the concern.
Ub
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JYY2

Experienced User , Rather EHEALTHy
Joined: 05 Jun 2004
Posts: 227

Posted: 03-08-06 13:57pm

Built up of tophi (msu crystals) around the joints can eventually damage the bones and soft tissues around the joints, including the little finger joints. I strongly suggest that you see a rheumatologist. Good luck.
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ubmoon

New User, Becoming EHEALTHy
Joined: 04 Mar 2006
Posts: 3
Location: maryland

Posted: 03-08-06 18:50pm

Jyy2
the last five years of allopurinol 300mg/day have pretty much taken care of the tophi. My rheumatalogist says I have minor bone loss in some joints. She calls them "rat bites". What I really need to know is: can gout (as formerly described) cause an abcess? And would the affected digit have to be cut open and have tissue surgically removed to "save" the finger?
Ub
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JYY2

Experienced User , Rather EHEALTHy
Joined: 05 Jun 2004
Posts: 227

Posted: 03-08-06 21:44pm

I have not read that gout can cause abscess and if so how to deal with it. I assume your rheumatologist or hand surgeon has the answers. Take care.
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