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| http://dx.doi.org/10.1097/JW9.0000000000000029 | DOI Listing |
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An Autobiographical Report of Gout in a Patient Unable to Tolerate Conventional Therapy: The Unbearable Pain of Podagra.
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Dermatology, University of California Davis Medical Center, Sacramento, USA.
Gout is typically characterized by hyperuricemia and monosodium urate deposition in and around the joints. In individuals affected by gout, the condition can progress through the following phases: asymptomatic hyperuricemia, monosodium urate crystal deposition, acute gout, intercritical period, and chronic gout. Two of the following are required to establish the diagnosis of gout: at least two attacks, observation or a history of podagra or the presence of a tophus, and prompt response after starting treatment with colchicine.
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Because oral lesions can develop from various etiological factors, it is of utmost importance to obtain a comprehensive history and oral examination. Fellatio is a commonly practiced sexual act, which may result in submucosal hemorrhage of the palate. The lesions are asymptomatic and typically appear on the soft palate.
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