Management and Cure of Gouty Arthritis

被引:56
作者
Keller, Sarah F. [1 ]
Mandell, Brian F. [1 ]
机构
[1] Cleveland Clin, Dept Rheumat & Immunol Dis, 9500 Euclid Ave A50, Cleveland, OH 44915 USA
关键词
Gout; Inflammatory arthritis; Uric acid; Hyperuricemia; Treat-to-target; DOUBLE-BLIND; URIC-ACID; RISK; COLCHICINE; NAPROXEN; MEN;
D O I
10.1016/j.mcna.2020.09.013
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Gout is the most common inflammatory arthritis in the United States. Gouty arthritis is associated with significant morbidity and mortality and is caused by hyperuricemia. Gout is effectively managed and potentially cured by decreasing the overall urate burden with serum urate-lowering therapy. When serum urate is maintained at less than 6.0 mg/dL urate deposition is resolved and gout can be cured. Unfortunately, owing to a lack of physician monitoring and dose escalation the majority of patients do not achieve these urate levels. © 2021 Elsevier Inc.
引用
收藏
页码:297 / 310
页数:14
相关论文
共 56 条
  • [1] Feasibility randomised multicentre, double-blind, double-dummy controlled trial of anakinra, an interleukin-1 receptor antagonist versus intramuscular methylprednisolone for acute gout attacks in patients with chronic kidney disease (ASGARD): protocol study
    Balasubramaniam, Gowrie
    Parker, Trisha
    Turner, David
    Parker, Mike
    Scales, Jonathan
    Harnett, Patrick
    Harrison, Michael
    Ahmed, Khalid
    Bhagat, Sweta
    Marianayagam, Thiraupathy
    Pitzalis, Costantino
    Mallen, Christian
    Roddy, Edward
    Almond, Mike
    Dasgupta, Bhaskar
    [J]. BMJ OPEN, 2017, 7 (09):
  • [2] Febuxostat compared with allopurinol in patients with hyperuricemia and gout
    Becker, MA
    Schumacher, HR
    Wortmann, RL
    MacDonald, PA
    Eustace, D
    Palo, WA
    Streit, J
    Joseph-Ridge, N
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2005, 353 (23) : 2450 - 2461
  • [3] Borstad GC, 2004, J RHEUMATOL, V31, P2429
  • [4] Brower A. C., 2012, Arthritis in black and white, V3rd, P293
  • [5] Serum Uric Acid Level as an Independent Risk Factor for All-Cause, Cardiovascular, and Ischemic Stroke Mortality: A Chinese Cohort Study
    Chen, Jiunn-Horng
    Chuang, Shao-Yuan
    Chen, Hsin-Jen
    Yeh, Wen-Ting
    Pan, Wen-Harn
    [J]. ARTHRITIS & RHEUMATISM-ARTHRITIS CARE & RESEARCH, 2009, 61 (02): : 225 - 232
  • [6] Contemporary Prevalence of Gout and Hyperuricemia in the United States and Decadal Trends: The National Health and Nutrition Examination Survey, 2007-2016
    Chen-Xu, Michael
    Yokose, Chio
    Rai, Sharan K.
    Pillinger, Michael H.
    Choi, Hyon K.
    [J]. ARTHRITIS & RHEUMATOLOGY, 2019, 71 (06) : 991 - 999
  • [7] Alcohol intake and risk of incident gout in men: a prospective study
    Choi, HK
    Atkinson, K
    Karlson, EW
    Willett, W
    Curhan, G
    [J]. LANCET, 2004, 363 (9417) : 1277 - 1281
  • [8] Purine-rich foods, dairy and protein intake, and the risk of gout in men
    Choi, HK
    Atkinson, K
    Karlson, EW
    Willett, W
    Curhan, G
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2004, 350 (11) : 1093 - 1103
  • [9] Soft drinks, fructose consumption, and the risk of gout in men: prospective cohort study
    Choi, Hyon K.
    Curhan, Gary
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 2008, 336 (7639): : 309 - +
  • [10] Impact of bariatric surgery on serum urate targets in people with morbid obesity and diabetes: a prospective longitudinal study
    Dalbeth, Nicola
    Chen, Peggy
    White, Marie
    Gamble, Gregory D.
    Barratt-Boyes, Caran
    Gow, Peter J.
    Orr-Walker, Brandon
    [J]. ANNALS OF THE RHEUMATIC DISEASES, 2014, 73 (05) : 797 - 802