Gout, “the king of diseases and the disease of kings,” remains the most common inflammatory arthropathy.1 A disorder of purine metabolism, gout has more than doubled in prevalence over the past 2 decades.2 The majority of patients who have gout will receive most to all of their gout care from their primary care provider.3
In upcoming articles in this Special Report, we will review the current guidelines for the diagnosis and management of gout—everything primary care physicians need to know.
Topics will include:
• The basic components of gout diagnosis
• Management of acute gout attacks
• Pharmacological interventions for acute gout
• Management of chronic gout
• Pharmacological interventions for chronic gout
• Prevention of future gout attacks
• Referral to rheumatology
First up: a gout multiple-choice pre-test aimed at primary care physicians. The questions will be answered in upcoming segments of this Special Report and you will see them again, as a post-test, at the conclusion of the series.
1. Choi H. Epidemiology of crystal arthropathy. Rheum Dis Clin North Am. 2006;32:255-273, v.
2. Lawrence RC, Felson DT, Helmick CG, et al. Estimates of the prevalence of arthritis and other rheumatic conditions in the United States., part II. Arthritis Rheum. 2008;58:26-35.
3. Jawad AS. Teaching rheumatology in primary care. Ann Rheum Dis. 2000;59:1000-1001.