Gout (Gouty Arthritis) (cont.)
Catherine Burt Driver, MD
Catherine Burt Driver, MD, is board certified in internal medicine and rheumatology by the American Board of Internal Medicine. Dr. Driver is a member of the American College of Rheumatology. She currently is in active practice in the field of rheumatology in Mission Viejo, Calif., where she is a partner in Mission Internal Medical Group.
William C. Shiel Jr., MD, FACP, FACR
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
In this Article
- Gout facts
- What is gout?
- What causes gout?
- What are risk factors for gout?
- What are symptoms and signs of gout?
- How is gout diagnosed?
- When should gout be treated?
- What is the treatment for gout?
- Do gout medications have any side effects?
- What foods should people with gout avoid?
- What complications are associated with gout?
- What is the prognosis of gout?
- Is it possible to prevent gout?
- What research is being done on gout?
- Take the Gout Quiz
- Gout Slideshow
- Slideshow: Rheumatoid Arthritis
- Gout FAQs
- Find a local Rheumatologist in your town
How is gout diagnosed?
The most reliable method to diagnose gout is by demonstrating uric acid crystals in joint fluid that has been removed from an inflamed joint. Specially trained physicians, such as a rheumatologist or orthopedist, can carefully remove fluid from the joint. A doctor with expertise in gout can then examine the fluid under a microscope to determine if uric acid crystals are present. This is important because other diseases, such as pseudogout (a type of arthritis caused by the deposition of calcium pyrophosphate crystals) and infection, can have symptoms similar to gout.
When should gout be treated?
Changes in lifestyle, such as limiting foods associated with gout, should be initiated in anyone who has had a gouty attack in the past. Treatment of gout with medications is necessary when frequent disabling gouty attacks occur, when kidney stones caused by uric acid are present, when there is evidence of joint damage from gout on X-rays, or when tophi are present. Treatment should be individualized to the patient.
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