Clinical manifestations and diagnosis of gout.
Gout has been academically considered to be a step-up disease consisting of different stages: acute gout, intercritical gout, and chronic gout. This simple approach may lead to misinterpretation and misdiagnosis. In clinical practice, we should consider gout as a single disease with either or both acute (most commonly, episodes of acute inflammation) and persistent clinical manifestations, but not restricted to chronic synovitis. In this article, an innovative, practical, and rational approach to the clinical manifestations and diagnosis of gout is presented, which may be supportive for clinicians involved in everyday care and management of patients with gout.
Division of Rheumatology, BioCruces Health Institute, Hospital Universitario Cruces, Pza Cruces sn, Baracaldo 48903, Spain. Electronic address: fernando.perezruiz@osakidetza.net.
Fernando
F
Perez-Ruiz
Division of Rheumatology, Hospital Universitario Cruces, Pza Cruces sn, Baracaldo 48903, Spain.
Edwin
E
Castillo
Division of Rheumatology, Hospital Universitario Cruces, Pza Cruces sn, Baracaldo 48903, Spain.
Sandra P
SP
Chinchilla
Division of Physical Medicine, Hospital de Górliz, Astondo Ibiltoki, km. 2, Górliz 48630, Spain.
Ana M
AM
Herrero-Beites
D058070:Asymptomatic Diseases; D002908:Chronic Disease; D018450:Disease Progression; D006073:Gout / Q000175:diagnosis* / Q000473:pathology / Q000503:physiopathology; D006801:Humans; D033461:Hyperuricemia / Q000503:physiopathology; D014527:Uric Acid
D014527:Uric Acid
Clinical manifestations; Damage; Diagnosis; Gout; Tophi