Gout Images

Gout Images are related to gout, e.g. charts, tables, and sketches, including photographs that illustrate a point without being direct pictures of gout.
The list below, describes all the images in this category, or you may also browse all Gout Image pictures.

Alkaline Foods

This intriguing image from Lenore M. Edman, www.evilmadscientist.com shows a 'litmus test' with a twist. The twist is that the acid/alkali test is done with red cabbage. To add further interest, and a touch of surrealism, the red cabbaginess comes not from cabbage, but from candy! Oh how those Canadians love to wile away the long winter nights.

Well I've used the image to illustrate my point in Alkaline Foods, that litmus testing has little to do with alkalizing food, and alkalizing food has little to do with gout.

Why use it then? Because I like it.

You can see the original image from Lenora (The Evil Mad Scientist) at Flickr. If you reuse any part of this image, you must attribute the original work to Lenora under the Creative Commons Attribution License. No need to mention me, as I've done very little except add some tantalizing text.

What you must do now, is visit the original Kithchen Science picture, then follow the link to the explanatory Litmus Candy article.

Milk For Gout Diet

A chart comparing the 10% increase in uric acid after drinking soy milk, with the 10% decrease after drinking skim milk.

Please remember that no single individual food is important. You (or your nutritionist) should check the Gout Diet Section to fully understand the part that food and drink play in the treatment of gout)

Avoid Gout Reduce Uric Acid
Chart showing how the incidence of gout falls with lower uric acid. This is used to illustrate the article Avoid Gout By Uric Acid Reduction, which is part of the Gout Treatment Reference Section describing the treatments that are available to lower uric acid.
High Protein Foods

All these delicious high protein foods are often banned for gouties. But who is doing the banning? And do they know what they are talking about?

I've used this image in a number of gout diet articles where I've discussed the relationship of protein to gout.

Have a browse, and you'll see that the low protein brigade are rarely right.

Diet And Gout
Table of dietary recommendations for gout management. Taken from Gout: Diagnosis and Management of Gouty Arthritis and Hyperuricemia, this diet and gout list shows how overall gout diet is much more important than individual food items.

I have included other principles in my Gout Diet Section, as their are other important food factors. Also, beverages, exercise, and other lifestyle issues must be considered. The best approach is to assess your current diet, then slowly adjust that diet, decreasing bad influences, and increasing good ones. That way, you are more likely to stick to gout diet improvements.

Time To Dissolve Uric Acid Crystals
Chart of the number of months taken for uric acid crystals to dissolve after starting urate lowering treatment. 18 gout sufferers took between 3 and 33 months for all uric acid crystals to disappear from synovial fluid samples. Used to illustrate the article describing the time taken for uric acid crystals to dissolve.

Leave this page to browse the Gout Treatment Section

Gout and Sauna
Gout sufferers worry about how sauna and other sweat inducing activities affect gout. I picked this fiery image for my gout and sauna article to reflect the heat of a fierce gout attack.

When I wrote about gout and sweat, I didn't particularly want to produce images of sweating people. Gout patients really need to focus on what might make them sweat, as well as understand the effects of sweating on gout. As I was inspired to write this by a question about the benefits of sauna, what better than a picture of a sauna fire.

I particularly like this image.

I'm grateful to brkl at morgueFile.com for this hot image.

High Uric Acid & Kidney Disease
A chart showing the increasing risks of early kidney disease as uric acid rises. Interestingly, risks begin to rise steeply above 5mg/dL (0.3 mmol/L) which is towards the lower end of what many labs report to be the "normal" blood uric acid range.

The chart is drawn from data in the Association between serum uric acid and early kidney damage in middle-aged and elderly. The spreadsheet generating the uric acid chart, and this GoutPal image, are published under a Creative Commons license:

Creative Commons License
This work is licensed under a Creative Commons Attribution 3.0 Unported License.

Leave High Uric Acid & Kidney Disease to browse the Gout Disease pages

Diet Gout Management Plan
Gout diet is crucial, but only as part of a gout management plan. This image illustrates clearly how top rheumatologists see that diet is important, but only in the context of a proper diagnosis followed by a proper treatment plan. The full chart, in Gout: Diagnosis and Management of Gouty Arthritis and Hyperuricemia, is clearly aimed at doctors, but you must also see gout diet as part of a gout treatment plan that monitors and manages your uric acid levels and all other aspects of gout.
Gout Laser Therapy
Low level laser is a good pain relief therapy for gout.

Laser Photograph Details

Thanks to Stéphane Magnenat at Flickr (flickr.com/photos/stephane_magnenat/2557475043/) for this cool laser light image. Although the image is not from actual kit used to treat pain, I like the combination of laser light and water - both having great benefits for gout sufferers.
Development Of Gout Overview
Diagram showing that, if excretion of gout through kidneys and the gut is less than food intake and natural metabolism, then uric acid becomes too concentrated, and crystallization may lead to gout
Why Gout Does Not Always Hurt
Overview of high uric acid leading to urate crystal deposits. Many factors can enhance or inhibit the formation of crystals, which is why high uric acid may not manifest itself as gout immediately.

Leave this page to browse the uric acid crystals in the Understanding Uric Acid Section

Urate Transport Mechanisms In Kidney
Diagram showing the effects of various substances on the re-absorption or clearance of urate within the kidney.
Uric Acid Levels & Gout
This chart emphasizes how the risk of gout rises with higher uric acid levels. The data comes from "Asymptomatic hyperuricemia. Risks and consequences in the Normative Aging Study." report, from which, the abstract states:
To quantify the consequences of asymptomatic hyperuricemia, this study examined rates for a first episode of gouty arthritis based on 30,147 human-years of prospective observation. A cohort of 2,046 initially healthy men in the Normative Aging Study was followed for 14.9 years with serial examinations and measurement of urate levels. With prior serum urate levels of 9 mg/dl or more, the annual incidence rate of gouty arthritis was 4.9 percent, compared with 0.5 percent for urate levels of 7.0 to 8.9 mg/dl and 0.1 percent for urate levels below 7.0 mg/dl. With urate levels of 9 mg/dl or higher, cumulative incidence of gouty arthritis reached 22 percent after five years. Incidence rates were three times higher for hypertensive patients than for normotensive patients (p less than 0.01). The strongest predictors of gout in a proportional hazards model were age, body mass index, hypertension, and cholesterol level, and alcohol intake. When the serum urate level became a factor in the model, none of these variables retained independent predictive power. At the final examination, only 0.7 percent of participants had a serum creatinine level of 2.0 mg/dl or more, with no evidence of renal deterioration attributable to hyperuricemia. These data support conservative management of asymptomatic hyperuricemia.
Gout & Healthy Eating Pyramid
Data on the relationship between diet and the risk for gout are primarily derived from the recent Health Professionals Follow-Up Study (27, 28, 31). Implications of these findings in the management of hyperuricemia or gout are generally consistent with the new Healthy Eating Pyramid (32), except for fish intake. The use of plant-derived ?-3 fatty acids or supplements of eicosapentaenoic acid and docosahexaenoic acid in place of fish consumption could be considered to provide patients the benefit of these fatty acids without increasing the risk for gout. Use of -3 fatty acids may have anti-inflammatory effect against gouty flares. Vitamin C intake exerts a uricosuric effect. (Adapted with permission from reference 32: Willett WC, Stampfer MJ. Rebuilding the food pyramid. Sci Am. 2003;288:64-71.) Red arrows denote an increased risk for gout, solid green arrows denote a decreased risk, and yellow arrows denote no influence on risk. Broken green arrows denote potential effect but without prospective evidence for the outcome of gout.
Urate Production Pathways
Diagram showing some of the genetic and external influences on the stimulation or inhibition of internal synthesiis of uric acid
Dual Effects Of Pyrazinoate On Urate Transport
Chart showing how low concentrations of pyrazinoate stimulate uric acid to be reabsorbed, whereas higher concentrations reduce re-absorption.
Urate Inflammation With Cartilage And Bone Destruction
Diagram showing how, even though an acute flare might not be happening, uric acid crystals induce cellular changes that lead to permanent cartilage and bone damage.

Leave this page to browse the uric acid crystals in the Understanding Uric Acid Section

Progress Of Gout Flare
Diagram showing the cellular effects of gout flares during and after an episode of acute gout.
Gout Diet Question: What Are Purines?
This completed gout diet question form is an example of how to ask a question related to food, drink, or lifestyle in the Gout Diet Forum.

Though the specific question is What Are Purines?, you should read the accompanying notes to learn how to ask much better gout questions.

Remember, the more interesting and unique your question is, the better answer you will get.

Also see the gout forum guidelines for more tips, and more ways to discuss gout.

GoutPal Sufferers Helped
GoutPal consists of the main GoutPal.com reference website, and a support site, gout-pal.com, aka GoutPal Interactive.

GoutPal Interactive supports GoutPal.com by helping visitors use the website more effectively, but it has a wider role in helping gout sufferers. The selfless contributions of hundreds of fellow gout sufferers means millions of gout patients get help directly, or through better information on the main website.

At the moment, GoutPal.com is totally dependent on me, though I hope this will change in the near future. This chart clearly shows how important this is. Whilst the one-man GoutPal.com suffered the same fall as I did, the many-legged GoutPal Interactive showed continuous steady increases in the number of gout sufferers helped. A massive thank you to all GoutPal Interactive members.

Gout Sufferers Helped
Visitors to my gout websites are a good indication of how many gout sufferers find help to overcome their pain. As the biggest gout support service, I was proud to be helping people on the road to Gout Freedom at the rate of one million per year, with plans to help many, many more.

Then came my fall from a balcony, and the resulting breaks meant a break from working on the website. My own fall mirrored by a fall in visitors.

But, let us look on the bright side. There is every indication that the decline is over. I still need a few months to complete physical recovery. My gout support websites need a few months to recover to one million per year and beyond. There is every indication of forthcoming success on both fronts

Resveratrol Xanthine Oxidase Inhibitor
This investigation into resveratrol as one of natures gout cures includes the following:
We have investigated the free radical scavenging capacity of resveratrol, its effects on xanthine oxidase (XO) activity, spontaneous membrane lipid oxidation, and DNA cleavage. Resveratrol showed a dose-dependent free radical scavenging activity, significant inhibition of XO activity...

Xanthine Oxidase (xanthine: oxygen oxidoreductase, E C 1.1.3.22) Activity Inhibition

Xanthine oxidase (XO) activity was evaluated spectrophotometrically by following the formation of uric acid ... Different concentrations of resveratrol (50, 100, or 200 μM) were added to samples before enzyme addition and their effect on the generation of uric acid was used to calculate regression lines.

First 2 pages are shown as an image, full report is:

Resveratrol Xanthine Oxidase Inhibitor Investigation

Title:
Antioxidant Activity and Protective Effect on DNA Cleavage of Resveratrol.
Authors:
R. Acquaviva, A. Russo, A. Campisi, V. Sorrenti, C. Di Giacomo, M.L. Barcellona, M. Avitabile, A. Vanella.
Published:
Journal of Food Science Volume 67, Issue 1, pages 137–141, January 2002
Neck Pain With Gout
Gout is often described as a real pain in the neck. My Neck Pain With Gout article explains how gout pain can affect the neck. This picture shows which joints are affected by the example gout case.

Neck Pain With Gout Xray Diagram Details

Spine image courtesy radpod.org/2007/04/27/teardrop-fracture/

I used this image to represent spinal joint numbering. The diagram is not related to the study that shows sore joints from gout pain in the neck.

I have used it to explain the joint numbering sequence described in the study. Uric acid deposits were found to have eroded the neck facet joints of C2/C3, C3/C4 and C4/C5, i.e. the area I have numbered C2 to C5. Click image for more details.

Right Foot Tophi

This composite picture is from the public abstract for the first gout study referenced in the Feet Tophi page.

The top photograph shows a large tophus attached directly to the sole of the right foot. You can read more about this type of tumor on the Tophaceous Gout page.

The lower image is a DECT scan which differentiates uric acid deposits, shown here in green. The color is set by the software to provide contrast with natural tissue. Note that, though the patient had not complained of gout pain, uric acid deposits are clearly visible in the toe, foot, and ankle joints. You can find more about this imaging method by searching for DECT in the box above.

Leave Right Foot Tophi to browse the Gout Symptoms pages

Coffee And Gout Chart
I prepared this chart of coffee consumption and the risks of gout from the data presented in my coffee and gout study review. That link reveals my thoughts about the gout study, and here I will describe the chart of the results.

Coffee And Gout Chart Results

See the coffee and gout spreadsheet for the numbers. The different rates of falling gout incidence are interesting, and I wanted to show the inverse rising coffee consumption with something more attractive than a simple chart column. Hence, I pasted in some coffee images.

Coffee And Gout Chart Coffee Images

What started as a simple search for a photograph of a cup of coffee turned into an exciting voyage of discovery. This is personal, and has no association with gout that I know of. I'd like to use this opportunity to thank the coffee cup photographer.

First, let's get the legal stuff out of the way. That coffee cup photograph belongs to Jason Webber. He has been kind to allow me to use the photograph, and I thank him for that. You can see the full size coffee cup photograph on morgueFile, together with the copyright details. If you use his photograph, or my derivative, please acknowledge his ownership. But there's more...

Following Jason's morgueFile profile, I find he has a wonderful collection of photographs on flickr, not least of which is his Yorkshire Sculpture Park set.

Following Jason's flickr profile I find he is an active (maybe overactive? :-) ) Tweeter and has an interesting blog with good music recommendations, which I'm currently listening to. Seems he is partial to coffee! I feel I've turned into a stalker, but there is some good stuff here, and I'm inspired to improve what I do.

Thank you, Jason.

Leave Coffee And Gout Chart to browse the Gout Diet Foods To Eat pages

The list above, describes all the images in this category, or you may also browse all Gout Image pictures.

Please see the Gout Picture Section for a complete list of gout pictures, photographs, and images.


Gout Images was published October 23, 2010, from an original created on October 23, 2010.