1. Peng

1. Peng

Question: Male, 43 years old. Has suffered from gout for many years, with occasional attacks. Pain starts in the feet and sometimes spreads to the upper limbs and sternum. The pain is migratory, and each time ibuprofen relieves it. Does migratory pain also count as gout? What treatments are available?

Answer: Yes, it counts as gout. Pain in the upper limbs and lower limbs are both gout. From an evolutionary perspective, the upper and lower limbs are essentially the same. However, due to human upright walking, gout in the lower limbs is more common than in the upper limbs.