Can Adolescents Develop Gout?

Gout in Adolescents

Gout can also occur in adolescents, albeit with a lower incidence rate. Gout is a metabolic disease primarily caused by excessive production or reduced excretion of uric acid in the body. Its typical clinical manifestations include recurrent episodes of arthritis, tophus formation, and chronic joint destruction.

Etiology:

The exact cause of gout in adolescents remains unclear but may be related to genetic factors, environmental factors, and more. For instance, if both parents have gout, the likelihood of their children developing gout increases. Prolonged exposure to a high-purine diet, such as frequent consumption of seafood and animal viscera, can elevate uric acid levels in adolescents, potentially triggering gout.

Clinical Presentation:

When gout manifests in adolescents, it typically presents with joint swelling, pain, and accompanying systemic symptoms like fever and fatigue. As the disease progresses, it may also lead to renal complications, including kidney stones and renal dysfunction.

Treatment:

If gout is diagnosed in adolescents, medication such as Febuxostat and Allopurinol should be administered under medical supervision. Additionally, drugs that promote uric acid excretion, like Benzbromarone and Probenecid, may be prescribed as adjunctive therapy. Surgical intervention may be considered when necessary. In daily life, it is crucial to avoid high-purine foods like crab, shrimp, and other seafood products. Drinking plenty of water promotes metabolism and aids in recovery.