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Letters Gout

Management in primary care

BMJ 2011; 342 doi: (Published 11 January 2011) Cite this as: BMJ 2011;342:d117
  1. Edward Roddy, clinical lecturer in rheumatology1,
  2. Christian D Mallen, senior lecturer in general practice1
  1. 1Arthritis Research UK Primary Care Centre, Primary Care Sciences, Keele University, Keele, Staffordshire, ST5 5BG, UK
  1. e.roddy{at}

Although welcome, Cayley’s article focuses exclusively on acute gout and omits several important aspects of diagnosis and management that are particularly relevant to general practice.1 The article rightly points out that hyperuricaemia does not necessarily mean that the patient has gout. However, conversely, serum uric acid concentrations may be normal during an acute …

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