{"id":2392,"date":"2024-07-15T17:53:09","date_gmt":"2024-07-15T17:53:09","guid":{"rendered":"https:\/\/reveil-info.net\/test\/?p=2392"},"modified":"2024-07-15T20:21:53","modified_gmt":"2024-07-15T20:21:53","slug":"la-goutte-definition-et-facteurs-favorisants-de-la-goutte","status":"publish","type":"post","link":"https:\/\/reveil-info.net\/?p=2392","title":{"rendered":"La Goutte: D\u00e9finition et facteurs favorisants de la goutte"},"content":{"rendered":"

D\u00e9finition et facteurs favorisants de la goutte<\/h1>\n
La goutte est une maladie chronique fr\u00e9quente qui r\u00e9sulte de d\u00e9p\u00f4ts de microcristaux d\u2019acide urique dans les articulations et les tissus environnants. L\u2019\u00e2ge, l\u2019association \u00e0 d\u2019autres maladies chroniques, les habitudes alimentaires et le surpoids font partie des principaux facteurs favorisants.<\/p>\n

La goutte : un rhumatisme inflammatoire intermittent<\/h3>\n

La\u00a0goutte\u00a0<\/strong>est une\u00a0maladie chronique<\/strong>\u00a0due \u00e0 la pr\u00e9sence d\u2019un exc\u00e8s d\u2019acide urique dans le sang ; on parle d\u2019hyperuric\u00e9mie<\/strong>. Des microcristaux d\u2019acide urique peuvent alors se d\u00e9poser dans les articulations et les tissus qui l\u2019entourent, cr\u00e9ant une inflammation ou\u00a0arthropathie inflammatoire<\/strong>.<\/p>\n

La goutte se manifeste par la survenue de pouss\u00e9s inflammatoires articulaires, r\u00e9cidivantes et spontan\u00e9ment r\u00e9solutives\u00a0: elles sont appel\u00e9es\u00a0\u00ab crises de goutte \u00bb<\/strong>.<\/p>\n

La goutte fait partie des\u00a0arthropathies microcristallines<\/strong>, \u00e9galement appel\u00e9es rhumatismes microcristallins. Il existe d\u2019autres arthropathies de ce type comme la chondrocalcinose et l\u2019apatite dues \u00e0 des d\u00e9p\u00f4ts de cristaux contenant du calcium.<\/p>\n

un exc\u00e8s d\u2019acide urique dans le sang ou hyperuric\u00e9mie<\/h3>\n

L\u2019acide urique\u00a0<\/strong>est issu de la d\u00e9gradation des purines pr\u00e9sentes dans de nombreux aliments (aliments riches en protides comme les viandes rouges et les abats, alcool , bi\u00e8re, boissons sucr\u00e9es\u2026). Il est ensuite \u00e9limin\u00e9 par les reins, dans les urines.<\/p>\n

La goutte r\u00e9sulte d\u2019une\u00a0augmentation anormale et chronique<\/strong>\u00a0du taux d\u2019acide urique<\/strong>\u00a0dans le sang, qui s\u2019explique par un apport alimentaire \u00e9lev\u00e9 en purines et surtout par un d\u00e9faut d\u2019\u00e9limination par les reins de l\u2019acide urique.<\/p>\n

Lorsque la concentration en acide urique augmente dans le sang, des cristaux d\u2019acide urique (urate de sodium) se forment et se d\u00e9posent dans les articulations et autour d\u2019elles.<\/p>\n

Ces d\u00e9p\u00f4ts d\u2019acide urique dans les articulations ne sont pas toujours responsables de sympt\u00f4mes de goutte. Mais dans certains cas, ils entra\u00eenent une r\u00e9action inflammatoire se traduisant par la\u00a0crise de goutte<\/strong>.<\/p>\n

\n
\n

LES FACTEURS FAVORISANT LA SURVENUE DE LA GOUTTE<\/h2>\n<\/div>\n<\/div>\n
\n
\n
\n

Les facteurs de risque de la goutte sont multiples. Ils peuvent \u00eatre g\u00e9n\u00e9tiques, li\u00e9s \u00e0 l\u2019\u00e2ge ou encore aux comportements alimentaires et\/ou s\u00e9dentaires, voire \u00eatre en lien avec une autre maladie ou la prise de certains m\u00e9dicaments.<\/p>\n

Pr\u00e9disposition g\u00e9n\u00e9tique et goutte<\/h3>\n

Les cas de goutte peuvent \u00eatre plus fr\u00e9quents dans certaines familles. La goutte est alors due \u00e0 un d\u00e9faut d\u2019\u00e9limination de l\u2019acide urique (90\u00a0% des cas) li\u00e9 \u00e0 des mutations g\u00e9n\u00e9tiques.<\/p>\n

Un apport excessif en purines aggrave le probl\u00e8me.<\/p>\n

\u00c2ge et sexe de la personne<\/h3>\n

Avant 65\u00a0ans, la\u00a0goutte<\/strong>\u00a0est 4 fois plus fr\u00e9quente chez l\u2019homme que chez la femme et 3\u00a0fois plus fr\u00e9quente apr\u00e8s 65\u00a0ans.<\/p>\n

Cependant, au cours de ces 20 derni\u00e8res ann\u00e9es, la fr\u00e9quence de la goutte a doubl\u00e9 chez les femmes. En g\u00e9n\u00e9ral, la goutte d\u00e9bute 10 ans plus tard chez la femme que chez l\u2019homme et survient apr\u00e8s la\u00a0 m\u00e9nopause. Toutefois, les femmes ayant une m\u00e9nopause pr\u00e9coce (avant 45 ans) peuvent pr\u00e9senter une goutte \u00e0 un plus jeune \u00e2ge.<\/p>\n

Une alimentation riche en purines en cause dans la goutte<\/h3>\n

Les purines sont d\u00e9grad\u00e9es et \u00e9limin\u00e9es dans les urines sous forme d\u2019acide urique<\/strong>. Elles sont pr\u00e9sentes dans l\u2019alcool , la bi\u00e8re, les boissons sucr\u00e9es riches en fructose, ou encore dans les aliments riches en protides \u00a0tels que la viande (viande rouge, abats comme les ris de veau, la cervelle et le foie, la charcuterie) ou certains poissons (anchois, hareng).<\/p>\n

Une alimentation riche en purines favorise l’\u00e9l\u00e9vation du taux d’acide urique sanguin.<\/p>\n

Certaines maladies chroniques en cause dans la goutte<\/h3>\n

Certaines maladies favorisent l\u2019apparition de la goutte\u00a0:<\/p>\n

    \n
  • l\u2019insuffisance r\u00e9nale;<\/li>\n
  • le syndrome m\u00e9tabolique et l\u2019 ob\u00e9sit\u00e9\u00a0;<\/li>\n
  • l\u2019hypertension arterielle ;<\/li>\n
  • le diab\u00e8te \u00a0;\u00a0l’augmentation des graisses dans le sang.
    \n

    Des\u00a0m\u00e9dicaments favorisant la goutte<\/h3>\n

    Les m\u00e9dicaments diminuant l\u2019\u00e9limination par les reins de l\u2019acide urique<\/strong> peuvent \u00eatre \u00e0 l\u2019origine de la goutte. C\u2019est le cas de certains diur\u00e9tiques\u00a0 , l\u2019acide ac\u00e9tylsalicylique \u00e0 faible dose, la cyclosporine, le tacrolimus, les m\u00e9dicaments antituberculeux \u00a0etc.<\/p>\n

    Source: www.ameli.fr<\/strong><\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

    D\u00e9finition et facteurs favorisants de la goutte La goutte est une maladie chronique fr\u00e9quente qui<\/p>\n","protected":false},"author":1,"featured_media":2402,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[35],"tags":[],"class_list":["post-2392","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sante-2"],"yoast_head":"\nLa Goutte: D\u00e9finition et facteurs favorisants de la goutte - R\u00e9veil Info<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"La Goutte: D\u00e9finition et facteurs favorisants de la goutte - R\u00e9veil Info\" \/>\n<meta property=\"og:description\" content=\"D\u00e9finition et facteurs favorisants de la 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