Management of gout: Primary care approach
Great strides have been made in understanding gout as a disease over the centuries. Despite these advances, reports suggest that the management of gout is relatively sub-optimal at the primary care level. This article reviews important considerations in the management of gout and provides an evidenc...
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| Format: | Article |
| Language: | English |
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AOSIS
2009-12-01
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| Series: | South African Family Practice |
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| Online Access: | https://safpj.co.za/index.php/safpj/article/view/1453 |
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| author | Olufemi Omole Gboyega A. Ogunbanjo |
| author_facet | Olufemi Omole Gboyega A. Ogunbanjo |
| author_sort | Olufemi Omole |
| collection | DOAJ |
| description | Great strides have been made in understanding gout as a disease over the centuries. Despite these advances, reports suggest that the management of gout is relatively sub-optimal at the primary care level. This article reviews important considerations in the management of gout and provides an evidence-based approach for the management of acute and chronic gouty arthritis in primary care. Recurrent monoarticular pain and swelling should raise the suspicion of gout and demonstration of urate crystals in synovial fluid during a clinical episode confirms the diagnosis. Acute gouty attacks should be managed with appropriate doses of non-steroidal anti-inflammatory drugs (NSAIDs) or colchicines or steroids. Recurrent attacks of gout, presence of tophi and urate stones necessitate urate lowering drugs. Prophylactic anti-inflammatory agents for up to 6 months should be added at initiation of urate lowering therapy to reduce flares of acute attacks. Gout management requires life-long commitment and adherence to lifestyle modification and treatment improve clinical outcomes. |
| format | Article |
| id | doaj-art-6b6f313996594eb196ee3ab6f0c71a91 |
| institution | Kabale University |
| issn | 2078-6190 2078-6204 |
| language | English |
| publishDate | 2009-12-01 |
| publisher | AOSIS |
| record_format | Article |
| series | South African Family Practice |
| spelling | doaj-art-6b6f313996594eb196ee3ab6f0c71a912025-08-20T03:47:10ZengAOSISSouth African Family Practice2078-61902078-62042009-12-0151610.1080/20786204.2009.108739061166Management of gout: Primary care approachOlufemi Omole0Gboyega A. Ogunbanjo1University of the WitwatersrandUniversity of LimpopoGreat strides have been made in understanding gout as a disease over the centuries. Despite these advances, reports suggest that the management of gout is relatively sub-optimal at the primary care level. This article reviews important considerations in the management of gout and provides an evidence-based approach for the management of acute and chronic gouty arthritis in primary care. Recurrent monoarticular pain and swelling should raise the suspicion of gout and demonstration of urate crystals in synovial fluid during a clinical episode confirms the diagnosis. Acute gouty attacks should be managed with appropriate doses of non-steroidal anti-inflammatory drugs (NSAIDs) or colchicines or steroids. Recurrent attacks of gout, presence of tophi and urate stones necessitate urate lowering drugs. Prophylactic anti-inflammatory agents for up to 6 months should be added at initiation of urate lowering therapy to reduce flares of acute attacks. Gout management requires life-long commitment and adherence to lifestyle modification and treatment improve clinical outcomes.https://safpj.co.za/index.php/safpj/article/view/1453goutmanagementprimary careanti-inflammatory agents |
| spellingShingle | Olufemi Omole Gboyega A. Ogunbanjo Management of gout: Primary care approach South African Family Practice gout management primary care anti-inflammatory agents |
| title | Management of gout: Primary care approach |
| title_full | Management of gout: Primary care approach |
| title_fullStr | Management of gout: Primary care approach |
| title_full_unstemmed | Management of gout: Primary care approach |
| title_short | Management of gout: Primary care approach |
| title_sort | management of gout primary care approach |
| topic | gout management primary care anti-inflammatory agents |
| url | https://safpj.co.za/index.php/safpj/article/view/1453 |
| work_keys_str_mv | AT olufemiomole managementofgoutprimarycareapproach AT gboyegaaogunbanjo managementofgoutprimarycareapproach |