 |
| |
 | | Consultation for Management | |
- Refer patients with onset of gout at a very early age to a specialist.
- Consider that patients with poorly controlled gout may benefit from consultation with a specialist.
- Consider consultation with a rheumatologist for help in managing patients with gout superimposed on other types of arthritis.
|
|
Refer patients with onset of gout at a very early age to a specialist.  |
- Refer patients with onset of documented gout before 20 years of age to a specialist in rheumatology or inherited metabolic diseases.
| Background | Back to top
|
Consider that patients with poorly controlled gout may benefit from consultation with a specialist. |
- Consider consultation with a rheumatologist in complex patients with presumed gout for:
- Help in confirming the accuracy of the diagnosis
- Management of recurrent acute gouty attacks
- Choice of uric acid-lowering therapy
- Management of other concurrent arthritides
- Consider consultation with a nephrologist for help in managing patients with renal inufficiency or urate nephropathy and its implications for drug therapy.
| Background | Back to top
|
Consider consultation with a rheumatologist for help in managing patients with gout superimposed on other types of arthritis. |
- Refer patients with gout and other concomitant inflammatory arthritides, such as rheumatoid arthritis, systemic lupus, and psoriatic arthritis, to a rheumatologist for management.
| Background | Back to top
| | | FAQs |
|
| Grace P. Teal, MD (deceased) has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations. Howard A. Fuchs, MD, is a consultant for TAP Pharmaceuticals.
Steven E. Weinberger, MD, FACP, Acting Editor, PIER, has stock holdings in Glaxosmithkline and Abbott. |
|
|
|
The information included herein should never be used as a substitute
for clinical judgment and does not represent an official position of
ACP. Because all PIER modules are updated regularly, printed web pages
or PDFs may rapidly become obsolete. Therefore, PIER users should
compare the date of the last update on the website with any printout
to ensure that the information being referred to is the most current
available.
|
PIER is copyrighted (c) 2009 by the American College of Physicians,
190 N. Independence Mall West, Philadelphia, PA 19106-1572, USA.
|
|
|
Gout
