The ancients (Hippocrates, Seneca) recognized gout as a disease. To consumers it suggests overindulgence, King Henry VIII, obesity, and painful big toes in sedentary old people. To clinicians, it means hyperuricemia, tophi, podagra, monarticular hot joints, and a family history of gout. Gout is all of the above with risks of chronic arthritis and renal failure as well. Well founded treatment protocols are effective for both acute and chronic disease. Incidence rises with age and drug use.1 Controversy lies not in its definition and therapeutic management but in treatment of the asymptomatic state.
KeywordsUric Acid Carpal Tunnel Syndrome Serum Uric Acid Uric Acid Level Serum Uric Acid Level
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- 4.McCarthy DJ. Arthritis and allied conditions. 11th ed. Philadelphia: Lea & Febiger, 1989:1645–778.Google Scholar
- 7.Sterling LP. The clinical management of gout. Am Pharm 1991; NS31:52–8.Google Scholar
- 13.Stuart RA, Gow PJ, Bellamy N, Campbell J, Grigor R. A survey of current prescribing practices of antiinflammatory and urate lowering drugs in gouty arhtritis. NZMJ 1991;104:115–7.Google Scholar