Gout is a form of arthritis characterized by recurrent attacks of redness, severe pain, and tenderness in a joint. Gout occurs when urate crystals accumulate in a joint, causing swelling and intense pain known as gout attack. Over the years, there have been some myths about this disease. This article intends to debunk those myths and reveal the facts.
Myth 1: Gout is a rare disease
Truth: Recent reports of the prevalence of gout worldwide, range from <1% to 6.8%, and an incidence of 0.58–2.89 per 1,000 person yearly. In fact, gout is the most prevalent form of inflammatory arthritis in men aged >40 years.
Myth 2: Only obese people experience Gout
Truth: Although obesity is a risk factor for gout, people of all sizes can develop it.
Myth 3: Gout only affects men
Truth: Men are indeed more prone to develop gout because of their higher uric acid levels. Yet, it is not exclusive to men. About 3% to 6% of men in the U.S. develop this condition, and 1% to 2% of women do as well.
Myth 4: Abstaining from liver and alcohol prevents gout attacks
Truth: Alcoholic drinks and organ meats such as liver are very high in a class of natural substance known as ‘purines.’ The body breaks down purines to produce uric acid, so these foods can increase the risk of a gout attack. Avoiding these foods may reduce attacks, but it won’t halt them.
Myth 5: Gout only affects the big toe
Truth: Gout can occur in any joint, although it often starts by attacking the joint of the big toe. The knee, ankle, elbow, wrist, and finger joints are also commonly affected.
Myth 6: Consuming dairy products increases the risk for gout
Truth: Studies have shown that intake of low-fat dairy has a moderate urate-lowering effect, and is associated with a reduced risk for developing gout.
Myth 7: No effective medications for gout
Truth: Nonsteroidal Anti-inflammatory Drugs (NSAIDs), colchicine, and corticosteroids are effective in managing gout attacks. Xanthine oxidase inhibitors (XOIs) block the production of uric acid, while uricosurics improve the kidney’s ability to remove uric acid from the body.
