Aslam Fawad, Michet Clement
Division of Rheumatology, Mayo Clinic, Scottsdale, AZ.
Division of Rheumatology, Mayo Clinic, Rochester, MN.
Mayo Clin Proc. 2017 Aug;92(8):1234-1247. doi: 10.1016/j.mayocp.2017.05.026.
Gout is the most common form of inflammatory arthritis in the United States. Nevertheless, gout remains misunderstood, misdiagnosed, underdiagnosed, and undertreated. Several new recommendation and guideline documents regarding the management of gout have been published in the past few years. New diagnostic modalities, such as ultrasound and dual-energy computed tomography, are now available. Newer treatment options exist, and older agents and their interactions are now better understood. This review addresses these recent diagnostic and therapeutic developments and describes our management protocol with the aim of providing the clinician with a pragmatic approach to gout management.
痛风是美国最常见的炎性关节炎形式。然而,痛风仍然存在误解、误诊、漏诊和治疗不足的情况。在过去几年中,已经发布了几份关于痛风管理的新推荐和指南文件。现在有了新的诊断方法,如超声和双能计算机断层扫描。有了更新的治疗选择,并且对旧药物及其相互作用有了更好的理解。本综述阐述了这些近期的诊断和治疗进展,并描述了我们的管理方案,旨在为临床医生提供一种实用的痛风管理方法。