Attack of monoarticular arthritis Culture of joint fluid negative for microorganisms during attack of joint inflammation Development of maximal inflammation within one day Hyperuricemia Joint redness More than one attack of acute arthritis Pain or redness in the first metatarsophalangeal joint Subcortical cyst without erosions on radiography Suspected tophus Unilateral attack involving first metatarsophalangeal joint Unilateral attack involving tarsal joint *Normal serum urate levels do not exclude the diagnosis of gout Precipitants of Gout Drugs are FACT Furosemide Aspirin/Alcohol Cytotoxic drugs Thiazide diuretics Foods are SALT Seafood Alcohol (beer and spirits) Liver and kidney Turkey (meat) Treatment Treatment principles: Anti-inflammatory medications (acute and prophylaxis) +/- ULT (see following for detailed management algorithm and medication recommendations)
Attack of monoarticular arthritis Culture of joint fluid negative for microorganisms during attack of joint inflammation Development of maximal inflammation within one day Hyperuricemia Joint redness More than one attack of acute arthritis Pain or redness in the first metatarsophalangeal joint Subcortical cyst without erosions on radiography Suspected tophus Unilateral attack involving first metatarsophalangeal joint Unilateral attack involving tarsal joint *Normal serum urate levels do not exclude the diagnosis of gout Precipitants of Gout Drugs are FACT Furosemide Aspirin/Alcohol Cytotoxic drugs Thiazide diuretics Foods are SALT Seafood Alcohol (beer and spirits) Liver and kidney Turkey (meat) Treatment Treatment principles: Anti-inflammatory medications (acute and prophylaxis) +/- ULT (see following for detailed management algorithm and medication recommendations)