September 11th 2023
The man in his early 70s complains of leg pain lasting a month and of arm pain that came on about 1 week ago. Does the x-ray offer a clue to a diagnosis?
August 19th 2022
Racial disparities in gout prevalence could be explained by diet, social determinants of health, kidney disease, and other factors that suggest interventions.
December 10th 2021
Excess adiposity and genetic predisposition both were found to be associated with a higher risk of gout, particularly among US women, in a new prospective study.
February 25th 2021
A recent meta-analysis assessed comparative clinical efficacy of NSAIDs and COX-2 inhibitors. Try these 7 questions on the findings - does your clinical experience match?
November 15th 2018
What are the dos and don'ts when treating gout patients with chronic kidney disease? Take our 4-question quiz to find out.
10 New Drugs for Primary Care: Q1 2019
Highlights: The first liquid solution of colchicine for prophylaxis of gout, the first generic version of Advair Diskus, and 8 more new and approved drugs.
9 Brand New Drugs for Primary Care
COPD… nasal polyps.. gout …. dyskinesia in Parkinson Disease: here’s a brief look at new drugs for these and other disorders coming your way.
5 Top Apps for Primary Care
A quick review of: a great mobile ECG reference; a gout Dx tool; a contraception counseling aid; FPNotebook on mobile; and Klara.
Post-Test on Gout in Primary Care
Use this short test to gauge how much you’ve learned about a condition that needs more primary care involvement.
Can you spot the x-ray evidence to detect the suspected diagnosis?
All About Gout for Primary Care: Treating Chronic Disease
Preventing further acute attacks and decreasing the tophi burden becomes a secondary goal.
Gout Rounds: 5 New Developments
Primary care can do more to help reduce gout morbidity, says a new review-plus 4 more studies on gout treatment and prevention.
All About Gout for Primary Care: Treating Acute Gout
The faster the attack is recognized and treated with medications, the easier it is to control.
All About Gout for Primary Care: The Diagnosis
Clinical presentation, history, and laboratory evaluation can make a diagnosis of gout, but crystal examination is the “gold standard.”
All About Gout for Primary Care
How to regulate “the king of diseases and the disease of kings” is this Patient Care Special Report's domain.
Gout Guidelines Quiz: 8 Quick Questions
Test your knowledge of new American College of Physicians recommendations for improving diagnosis and management.
Gout Guidelines Give Good Grades
New evidence-based clinical practice guidelines offer some strong-and not so strong-recommendations for effective gout diagnosis and treatment.
Risk of Atrial Fibrillation is Associated with Gout
A large population-based study found more patients already had atrial fibrillation at gout diagnosis compared with controls.
Musculoskeletal Hits Top 10 in Primary Care Visits
For key facts and figures about musculoskeletal disorders, perhaps a surprise as the fourth leading diagnostic category in primary care, see the pages that follow.
Gout Comorbidities and Costs Climb
Once a disease of kings, gout affects an increasing number of “commoners”-and the physical and economic toll is high.
Hypertension and Gout: A Package Deal
Here: 5 questions that test your knowledge of gout, psoriasis, COPD, and dermatologic lesions.
All About Gout: 10 New Ways to Beat an Old Foe
Becoming familiar with recent developments in managing “the king of diseases and the disease of kings” may help.
In an Era of Steroids, Febuxostat, and Rasburicase, Can Cherries Prevent Gout?
In an era characterized by an expanding array of expensive gout therapies, it may be that cherries have been overlooked.
New Gout Guidelines Geared to Both Patients and Physicians
Gout guidelines recently approved by the American College of Rheumatology have a 2-part focus. They offer patients information on effective methods for preventing gout attacks, and they provide physicians with recommended therapies for long-term disease management.
Treatment Recommendations for Gout: A Summary Table
Here: a concise summary of dosing recommendations for the array of pharmacologic options now available to treat gout.
Gout: An Independent Risk Factor for Chronic Kidney Disease and Cardiovascular Disease?
Gout is associated with a 57% increased risk of ESRD, independent of hypertension and diabetes, according to new research.
Gouty Arthritis: A Photo Essay
Elevated serum uric acid level is pathognomonic for gout. Untreated gout may lead to tophi, nephropathy, and uric acid nephrolithiasis.
Gout Diagnosis: 4 Common Misconceptions
A definitive gout diagnosis is based on demonstration of monosodium urate crystals on aspiration of an affected joint or tophus.
Gout, Purine-Rich Foods, and Red Herrings
Purine-rich foods have now been fingered as perpetrating acute gout attacks as well as chronic gout. A pair of French rheumatologists propose that we may be focusing on the wrong dietary component.
Doctors Beware: Certain Antihypertensives Can Increase the Risk of Gout
Unfortunately, the growing epidemics of hypertension and gout are often a package deal. Recent data demonstrate that 74% of people with gout are also hypertensive.
Gout, 2011: Q & A Update on an Ancient Scourge
Gout, once considered a disease of kings, is now a common and equal opportunity disease that affects as many as 3 million people in the US. Gouty arthritis has now become a serious problem in organ transplant recipients; in diuretic users; and in patients with CKD, hypertension, metabolic syndrome, heart failure, plus more.
Gout: 5 Pearls for Primary Care
About 70% of patients with gout are treated exclusively in the primary care setting. Because the prevalence of gout is rising, particularly among older patients, you are increasingly likely to encounter this disease in your practice.
Podcast: Gout: A Primary Care Primer, Part 3
In the third podcast in this 3-part series, Dr Lieberman describes the options for treatment of an acute flare and for long-term urate-lowering therapy. The first step is lifestyle modification, and he discusses the challenges of motivating patients to institute and adhere to dietary changes.
Podcast: Gout: A Primary Care Primer, Part 2
The gold standard for diagnosis is joint aspiration and synovial fluid analysis; however, compensated polarized light microscopy is not available in most primary care practices. In part 2 of his 3-part podcast, Dr Lieberman discusses the diagnosis of gout in real-world practice.
Podcast: Gout: A Primary Care Primer
Gout is a primary care disease. About 70% of patients with gout are treated exclusively in the primary care setting. And because the prevalence of gout is increasing, particularly in older patients, you are increasingly likely to encounter this disease in your practice.
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