[thetransporter]

Hi Guys and Girls of Ask Me HelpDesk

I am re submitting this question to make a few points clear on the subject matter:
I am an ex special forces operative, representing a former colleague of mine in a legal battle minefield, outside of the USA.

I turned to law representation years ago.

I am trying to obtain a link between Non - Hereditary Gout and Injury Trauma to the feet area, for a patient of between 19 - 20 years old at the time.

I quote Dr Ronald Hoffman http:://www.drhoffman.com/page.cfm/546

USA::: The Hoffman Centre:::

The National Kidney Foundation of East Tennessee also has filed a similar internet report.

Statement gout can be triggered by injury and trauma.

Can anyone enhance or enlighten me further on this issue.

Please guys no cocky remarks or keyboard heroes, I need to help this guy!!

Also please do not offer me premium rate phone call telephone advice::: I am doing this Pro-Bono'.
Obviously I will donate to ask me at the end of the case...

Many thanks again to... templelane :(

[tickle]

Gout can definitely be triggered by injury, and it doesn't matter when that injury occurred, it could have happened years ago. I have a gout episode returning now in my small toe and it is truly painful. When at its epic it is so entirely swollent and red that it looks like the skin may split. I haven't had one for a couple of years and no one seems to know what triggers them. A sports injury therapist basically said there is very little you can do but suffer through the pain until it all subsides. She had asked be previously if I had ever injured my toes and of course I had many times, having them stepped on by various large animals !

There isn't very much you can to avoid them, normal everyday occurrences can trigger an episode. I suspect mine is from bracing that particular area of foot in the boat for dragon boat paddling. It takes a lot of pressure.

[J_9]

Okay, this is long so bear with me. I am again back home and am able now to have access to my texts. My source is Mosby's Dictionary of Medicine, Nursing & Health Professionals 7th Edition. I am copying this verbatim and will bold what may be appropriate for your situation.

Gout: (L, gutta, drop), a disease associated with an inborn error of uric acid metabolism that increases production or interferes with excretion of uric acid. Excess uric acid is converted to sodium urate crystals that precipitate from the blood and become deposited in joints and other tissues. Men are more often affected than premenopausal women. The great toe is a common site for the accumulation of urate crystals. The condition can cause exceedingly painful swelling of a joint, accompanied by chills and fever. The symptoms are recurrent; episodes become longer each year. The disorder is disabling and, if untreated, can progress to the development of destructive joint changes, such as tophi. Treatment usually includes administration of colchicine, phenylbutzone, indomethacin, or glucocorticoid drugs, and a diet that excludes purine-rich foods such as organ meats. It may include surgical removal of ulcerated tophi. Chronically, probenecid, allopurinol, or colchicine may be used to decrease uric acid levels. Acquired gout is a condition having the signs and symptoms of gout but resulting from another disorder, injury, or treatment for a different condition. Diuretic drugs can alter the concentration of uric acid so that uric acid salts precipitate from the blood and are carried to the joints. See also chondrocalcinosis, Lesch-Nyhan syndrome, tophus

The only one of the 3 disorders listed above that may qualify as your friends disorder could be chondrocalcinosis. However, since we are only allowed a limited number of characters it would not fit in this post. If you would like the detailed description of that, please feel free to let me know.

It sounds to me as though your friend may have acquired gout.