Schorn D
S Afr Med J. 1982 Jan 9;61(2):37-9.
Gout can be considered to be a group of diseases that are typified by acute arthritis, tophi and kidney stones. The acute attacks of arthritis should be treated with standard anti-inflammatory agents and the patient should receive maintenance therapy after the second acute attack. The dangers of asymptomatic hyperuricaemia are acute arthritis and uric acid kidney stones. Patients should be treated when the serum uric acid level is greater than 0,54 mmol/l or if the urinary uric acid excretion is greater than 4,2 mmol/l/24 h.
痛风可被视为一组以急性关节炎、痛风石和肾结石为典型特征的疾病。关节炎的急性发作应以标准抗炎药治疗，且患者在第二次急性发作后应接受维持治疗。无症状高尿酸血症的危害是急性关节炎和尿酸肾结石。当血清尿酸水平大于0.54毫摩尔/升或尿尿酸排泄量大于4.2毫摩尔/升/24小时时，患者应接受治疗。
