Diagnosis and management of gout

doi:10.1136/bmj.332.7553.1315

BMJ 2006;332:1315-1319 (3 June), doi:10.1136/bmj.332.7553.1315

Clinical review

Diagnosis and management of gout

Martin Underwood, professor of general practice

Department of General Practice and Primary Care, Centre for Health Sciences, University of London, London E1 2AT. m.underwood@qmul.ac.uk

The first 150 words of the full text of this article appear below.

Introduction

Gout is a common cause of acute arthritis. An ageing population,increasing obesity, and lifestyle changes will render it morecommon.¹ Here I outline the epidemiology of gout, appraise theevidence base for its management, and suggest ways of managingidiopathic gout. Management of hyperuricaemia due to inbornerrors of metabolism (for example, Lesch-Nyhan syndrome) andits prevention during cancer chemotherapy are not discussedhere.

Sources and selection criteria

The material for this review draws heavily on my chapter ongout in Clinical Evidence and from my work on a recent systematicreview of studies on the prevention and treatment of recurrentgout. To ensure that no relevant randomised controlled trialspublished since the systematic review had been overlooked, Iran a previous search strategy in PubMed and the Cochrane databaseof systematic reviews. I identified other relevant studies frommy personal database of papers on gout, did forward and backwardcitation tracking from . . . [Full text of this article]

What is gout?

Who gets gout and hyperuricaemia?

How is gout diagnosed?

Treatment of acute gout

Prevention of recurrent gout

Conclusion

CiteULike

Complore

Connotea

Del.icio.us Add to Digg

Digg

Technorati What's this?

Relevant Articles

Hit parade
BMJ 2006 333: 308. [Extract] [Full Text]

Colchicine in acute gout: Ian Morris, George Varughese, and Peter Mattingly
BMJ 2003 327: 1275-1276. [Extract] [Full Text] [PDF]

This article has been cited by other articles:

Kang, E H, Lee, E Y, Lee, Y J, Song, Y W, Lee, E B (2008). Clinical features and risk factors of postsurgical gout. Ann Rheum Dis 67: 1271-1275 [Abstract] [Full text]
Solomon, D H, Avorn, J, Levin, R, Brookhart, M A (2008). Uric acid lowering therapy: prescribing patterns in a large cohort of older adults. Ann Rheum Dis 67: 609-613 [Abstract] [Full text]
Underwood, M. (2008). Sugary drinks, fruit, and increased risk of gout. BMJ 336: 285-286 [Full text]
(2006). Hit parade. BMJ 333: 308-308 [Full text]

Rapid Responses:

Read all Rapid Responses

Gout & renal impairment: Colin Scott
bmj.com, 5 Jun 2006 [Full text]
Poverty of interest in Disease of Abundance: Kuldip P Anand, et al.
bmj.com, 8 Jun 2006 [Full text]
Management of Gout.: GEORGE Y. CALDWELL., et al.
bmj.com, 9 Jun 2006 [Full text]
More pertinent opinions and observations on Gout.: GEORGE Y. CALDWELL, et al.
bmj.com, 10 Jun 2006 [Full text]
Correction:: GEORGE Y. CALDWELL, et al.
bmj.com, 12 Jun 2006 [Full text]
Me and My Gout: A.A.W. Amarasinghe,MD,
bmj.com, 12 Jun 2006 [Full text]
Not ice - heat!: Steven Ford
bmj.com, 15 Jun 2006 [Full text]
Re: Me and My Gout: Burton Abrams
bmj.com, 27 Jun 2006 [Full text]