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Gout Of The Helix Ear - Gout Causing Foods

What Is The Gout Of The Ears?

by Briley Thomas on July 12, 2011

Gout is the inflammatory response to the deposition of monosodium urate crystals (tophi) in the tissues due to hyperuricemia (increased serum uric acid). These depositions usually occur at the tendons, joints, kidney and cartilages. There are times when these depositions would develop in unusual body areas such as the ear's helix, Achilles tendons, forearms, knees and elbows.

Deposition of tophi in the ears is quite unusual especially if the tophi deposits are found here before the other common structures. Gout in the ears may occur simultaneously with or after flare ups from other areas. The ears may not have joints but it is basically located far from the heart - an extremity. This structure has slower circulation of blood and does not have large veins, thus would get cold easily. This would predispose them to gout (tophi) attacks.

The ear external is made up mainly of cartilage, and as everybody knows, cartilages together with the joints, bursa and tendons, are the favorite areas for tophi attack. The tophi are mostly deposited in the in-curve border of the external ear called the helix. It is seen as a group of four or more (usually less than five) whitish tiny pearls at the helix rim or inner curve. they do not look like those tophi found on the fingers that look like quail's egg or those at the elbows that have similar appearance to golf balls. Instead, they are small white globules that are similar to the dimensions of a sunflower seed or a rice grain. Aside from the helix, the tophi may also be deposited at the concha, tragus or antihelix; however, it is quite rare to see these deposits inside the lobes of the ear.

If there is a milky pus anywhere at the external border of the ears after experiencing a flare up of gout, then it would be best to have it lanced and remove the pus. If not removed immediately, urate crystals may be mixed with them and it would be much difficult to remove them even if the uric acid levels in the blood have gone down. Surgical intervention may be necessary. No specific treatment is necessary for this disease condition. The treatment therapy is similar with all other gout cases. The primary goal of which is to lower the serum uric acid levels to dissolve the urate crystals and excrete them through the kidneys. And since the urate deposits in these areas are smaller compared to other areas, then getting rid of them is not a problem. Drugs used to reduce the uric acid levels include allopurinol, probenecid and the new drug Krystexxa which has shown to rapidly lower the serum urate levels thus reducing or removing the tophi quickly. Colchicine and corticosteroids do not remove the tophi but help in reducing inflammation.

Pain in the gouty areas of the ear may signal a gout attack somewhere in the other areas of the body thus intake of medications to prevent gout pain should be done immediately. There are times that the gout on the ear may be painless. This may be because the deposits are not enough to cause the neutrophils to react and start the inflammatory response. But keep in mind that the presence of tophi on the external ear is a sign of tophaceous gout therefore it is recommended that the serum uric acid levels be assessed to prevent complications.

For benefit of readers our website has useful related information for Gout Attacks, and also good stuff about Signs And Symptoms Of Gout. medianet_width='728'; medianet_height= '90'; medianet_crid='177027821';

Original article published on SooperArticles.com







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Gout Of The Helix Ear News


Perforating gout of the ear.

Tophi develop in 12-35% of patients who are diagnosed with gout [2]. We report a case of a 70-year-old man who was diagnosed with squamous cell carcinoma of the helix via shave biopsy ... for tophi to form on the ear.

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