Key Points
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Gout is caused by a deposition of monosodium urate within joints and soft tissues due to supersaturation of body fluids.
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Gout has been increasing in incidence due to increasing risk factors such as obesity, increased alcohol consumption, hypertension, and high purine diet.
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Gout develops in four stages: asymptomatic hyperuricemia, acute gouty arthritis, the intercritical period, and chronic tophaceous gout. The first metatarsophalangeal joint is often affected (podagra).
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Gout is treated in three phases: treatment of the acute attack, prevention of future acute and rebound attacks, and hypouricemic therapy.
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Sundram, U. (2010). Gout. In: Smoller, B., Rongioletti, F. (eds) Clinical and Pathological Aspects of Skin Diseases in Endocrine, Metabolic, Nutritional and Deposition Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-60761-181-3_7
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