Høieggen A
Revmatologisk avdeling Diakonhjemmets sykehus, Oslo.
Tidsskr Nor Laegeforen. 1992 Mar 20;112(8):1038-40.
The diagnosis of gout is confirmed by detection of monosodium urate crystals in the fluid of the joint or from tophi. This article discusses treatment of acute gout, prevention of acute attacks and treatment of hyperuricemia. Non-steroidal anti-inflammatory drugs are recommended as drugs of choice in treatment of acute gout. Self-administration of non-steroidal anti-inflammatory drugs is recommended for prevention of gout. Drugs to counteract hyperuricemia should be used only on specific indications. Measurement of the "24-hour" urinary uric acid content is important when deciding treatment.
通过检测关节液或痛风石中的尿酸钠晶体可确诊痛风。本文讨论急性痛风的治疗、急性发作的预防以及高尿酸血症的治疗。非甾体抗炎药被推荐为急性痛风治疗的首选药物。建议自行服用非甾体抗炎药以预防痛风。降尿酸药物仅在特定指征下使用。决定治疗方案时，测定“24小时”尿尿酸含量很重要。
