open access

Vol 4, No 2 (2019)
REVIEW ARTICLES
Published online: 2019-03-18
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Diagnostic and therapeutic procedures in gout

Rafał Wojciechowski, Kinga Kościńska-Ilczyszyn, Marzena Waszczak-Jeka, Sławomir Jeka
DOI: 10.5603/MRJ.a2019.0013
·
Medical Research Journal 2019;4(2):95-98.

open access

Vol 4, No 2 (2019)
REVIEW ARTICLES
Published online: 2019-03-18

Abstract

Gout, a rheumatic disease caused by crystals (crystal arthropathy), is a form of inflammatory arthritis caused
by monosodium urate depositing in the synovial fluid and as time goes by outside the joints as well (in
other tissues and organs).Gout attacks are sudden and often result from a dietary mistake. In 2015 the
European and American Rheumatological Associations (EULAR and ACR) published joint classification
criteria for gout. The criteria involve gout-specific clinical symptoms, irregular results of laboratory tests
and lesions visible in imaging tests. The “golden standard” of diagnostics still remains the presence of uric
acid crystals in a sample of synovial fluid, the contents of the bursa and of the gouty tophus. The course of
treatment for patients with gout depends on the stage of the disease, but it comes down to implementing
various forms of preventing hyperuricemia by modifying the patient’s lifestyle and diet, reducing risk factors
(such as overweight and obesity) and pharmacological treatment, both in-between and during attacks.

Abstract

Gout, a rheumatic disease caused by crystals (crystal arthropathy), is a form of inflammatory arthritis caused
by monosodium urate depositing in the synovial fluid and as time goes by outside the joints as well (in
other tissues and organs).Gout attacks are sudden and often result from a dietary mistake. In 2015 the
European and American Rheumatological Associations (EULAR and ACR) published joint classification
criteria for gout. The criteria involve gout-specific clinical symptoms, irregular results of laboratory tests
and lesions visible in imaging tests. The “golden standard” of diagnostics still remains the presence of uric
acid crystals in a sample of synovial fluid, the contents of the bursa and of the gouty tophus. The course of
treatment for patients with gout depends on the stage of the disease, but it comes down to implementing
various forms of preventing hyperuricemia by modifying the patient’s lifestyle and diet, reducing risk factors
(such as overweight and obesity) and pharmacological treatment, both in-between and during attacks.

Get Citation

Keywords

gout, arthritis, crystal arthropathy, hyperuricemia, flares of joint inflammation, tophaceous gout, gouty tophi, Colchicine

About this article
Title

Diagnostic and therapeutic procedures in gout

Journal

Medical Research Journal

Issue

Vol 4, No 2 (2019)

Pages

95-98

Published online

2019-03-18

DOI

10.5603/MRJ.a2019.0013

Bibliographic record

Medical Research Journal 2019;4(2):95-98.

Keywords

gout
arthritis
crystal arthropathy
hyperuricemia
flares of joint inflammation
tophaceous gout
gouty tophi
Colchicine

Authors

Rafał Wojciechowski
Kinga Kościńska-Ilczyszyn
Marzena Waszczak-Jeka
Sławomir Jeka

References (8)
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  8. Zimmermann-Górska I. Dna moczanowa. Interna Szczeklika Gajewski P. (red. Medycyna Praktyczna, Kraków. ; 2018.

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