impact factor

D. Specific diseases


Gout: thoughts about a treat-to-target programme



2012 Vol.30, N°4 ,Suppl.73
PI 0142, PF 0144
D. Specific diseases

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PMID: 23079069 [PubMed]

Received: 14/09/2012
Accepted : 19/09/2012
In Press: 18/10/2012
Published: 20/11/2012


Gout is a rheumatic disease resulting from deposition of uric acid crystals in tissues and fluids within the body. The pathogenesis involves underexcretion or overproduction of uric acid, a biproduct of metabolism of purines, resulting in a metabolic disorder commonly known as hyperuricaemia, has a relatively high prevalence in the population (0.5–1%, similar to rheumatoid arthritis). Patients with hyperuricaemia are at risk to develop acute gouty attacks which may be severely painful. The attacks tend to occur episodically over a few days up to a week or two, but gout may later become chronic. Different aims of therapy and management are well suited as targets of treatment, including reduction of purine intake, increased of excretion of uric acid, mobilisation of urate pools within the body, and reduction of acute and chronic inflammation through anti-inflammatory medications.

Rheumatology Article