TY - JOUR T1 - Diagnosis and management of complicated gout. AU - Wise,C M, AU - Agudelo,C A, PY - 1998/6/13/pubmed PY - 1998/6/13/medline PY - 1998/6/13/entrez SP - 2 EP - 5 JF - Bulletin on the rheumatic diseases JO - Bull Rheum Dis VL - 47 IS - 4 N2 - Although a diagnosis of gout can be confirmed by the presence of monosodium urate crystals in synovial fluid, arriving at the suspected diagnosis and managing the disease can be a challenge for primary care physicians and specialists alike. Symptoms of gout can mimic other forms of inflammatory arthritis such as rheumatoid arthritis, pseudogout, or septic arthritis. Treatment can be complicated by the patient's need for drugs that contribute to hyperuricemia. Once other diagnoses are ruled out and urate crystals are detected under polarized light microscopy, treatment to end the acute attack and follow-up treatment designed to lower serum urate levels can be undertaken. SN - 0007-5248 UR - https://www.unboundmedicine.com/medline/citation/9624822/Diagnosis_and_management_of_complicated_gout_ L2 - https://medlineplus.gov/gout.html DB - PRIME DP - Unbound Medicine ER -