Retrospective study of comorbidities in patients with gout / 重庆医学

ABSTRACT

Objective To explore the relationship between gout and its comorbidities such as hypertension,diabetes and dyslipidaemia.Methods The clinical data in 187 cases of gout admitted in the Third Affiliated Hospital of the Third Military Medical University from June 2013 to December 2015 were retrospectively analyzed.The patients were grouped according to the disease course,with or without tophi and nephrolithiasis.Then the relationship between gout and its comorbidities was investigated.Results The most common comorbidity of gout was dyslipidaemia (51.45％),followed by hypertension (46.52％),osteoarthritis (43.09 ％),fatty liver(42.19 ％),kidney stone (35.90 ％),renal dysfunction (23.53 ％) and diabetes (16.58 ％).The patients with longer disease duration(≥ 10 years) were more likely to suffer higher prevalence of tophi,renal dysfunction,hypertension and osteoarthritis.Furthermore,the patients with tophi demonstrated remarkably higher levels of serum uric acid and greater prevalence of renal dysfunction and osteoarthritis than those without tophi.In addition,the prevalence rate of comorbidities had no difference between the patients with and without kidney stones.Conclusion The patients with gout have higher morbidity rate of comorbidities.Gout patients with younger onset age,longer disease duration,older age or tophi are more likely to present with comorbidities.