Abstract
A 63 year old female with CKD secondary to diabetes complains of a sore great toe and difficulty walking 2 weeks after commencing furosemide for ankle oedema. On examination she has a swollen, tender foot with marked tenderness over the 1st MTP joint. Bloods reveal a raised CRP (97 mg/L), a raised uric acid level (653 μmol/L) and evidence of stable CKD with serum creatinine of 210 μmol/L, eGFR 21 mL/min and potassium 5.4 mmol/L. You suspect an episode of acute gout.
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Further Reading
Hui M, et al. British Society for Rheumatology and British Health Professionals in rheumatology guideline for the management of gout. Rheumatology. 2017. https://academic.oup.com/rheumatology/article/56/7/e1/3855179. Accessed 10 Apr 2019.
Khanna D, et al. 2012 American College of Rheumatology guidelines for management of gout. Parts 1 and 2. Arthritis Care Res. 2012;62(10):1431–6;1447–61.
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Fairweather, J., Findlay, M., Isles, C. (2020). Gout and the Kidney. In: Clinical Companion in Nephrology. Springer, Cham. https://doi.org/10.1007/978-3-030-38320-6_30
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DOI: https://doi.org/10.1007/978-3-030-38320-6_30
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