Managing your patient with gout: a review of treatment options.
Publication/Presentation Date
5-1-2011
Abstract
Gout is an inflammatory arthritis that typically presents as acute onset, recurrent, monoarticular pain. In most patients, management of pain, risk assessment for future flares, and disability is not optimal and diagnostic and management approaches are applied inconsistently. Obtaining an accurate patient history, including comorbidities, concomitant medications, and familial history, is important for optimal results. Recognizing the acute flare in the patient at risk and establishing a definitive diagnosis of gout should be conducted promptly. Therapeutic options appropriate for treating the acute flare include colchicine, nonsteroidal anti-inflammatory drugs, and corticosteroids. After flare remission, prophylaxis with a flare prevention medication, such as colchicine, should be administered followed by initiation of urate-lowering therapy with allopurinol or febuxostat. Patient education, especially counseling on risk factors and contributors to hyperuricemia and gout, can improve the likelihood of successful therapy for this often suboptimally managed disease.
Volume
123
Issue
3
First Page
56
Last Page
71
ISSN
1941-9260
Published In/Presented At
Doghramji P. P. (2011). Managing your patient with gout: a review of treatment options. Postgraduate medicine, 123(3), 56–71. https://doi.org/10.3810/pgm.2011.05.2284
Disciplines
Medicine and Health Sciences
PubMedID
21566416
Department(s)
Department of Medicine
Document Type
Article