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Pathophysiologic events in a gouty joint
Pathophysiologic events in a gouty joint. Synoviocytes phagocytose urate crystals and then secrete inflammatory mediators, which attract and activate polymorphonuclear leukocytes (PMN) and mononuclear phagocytes (MNP) (macrophages). Drugs active in gout inhibit crystal phagocytosis and polymorphonuclear leukocyte and macrophage release of inflammatory mediators. PG, prostaglandin; IL-1, interleukin-1; LTB4, leukotriene B4. Source: Chapter 36. Nonsteroidal Anti-Inflammatory Drugs, Disease-Modifying Antirheumatic Drugs, Nonopioid Analgesics, & Drugs Used in Gout, Basic & Clinical Pharmacology, 12e Citation: Katzung BG, Masters SB, Trevor AJ. Basic & Clinical Pharmacology, 12e; 2012 Available at: Accessed: October 13, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved
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