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Challenged: Six Misconceptions About Gout and Arthritis

Challenged: Six Misconceptions About Gout and Arthritis

Assumption #1. Gout does not occur in patients with rheumatoid arthritis.

In another one of those large longitudinal studies from the Mayo Clinic, during nearly 10,000 patient-years of followup among people with rheumatoid arthritis (RA), the 25-year cumulative incidence of gout diagnosed by clinical criteria was 5.3%, arising most commonly in the great toe. Monosodium urate crystals were documented in nearly half of these patients, all of whom were diagnosed with RA before gout developed. This is a lower rate of gout occurrence than in the general population, although the risk factors are similar: male gender, obesity, and older age.

See:  Co-Existence of Gout in Rheumatoid Arthritis: It Does Happen! A Population Based Study

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