Diagnosing and treating gout: a review to aid primary care physicians

Postgrad Med. 2010 Mar;122(2):157-61. doi: 10.3810/pgm.2010.03.2133.


Generalist physicians, specifically general internists and primary care physicians, are often the first to see patients with gout and therefore play a critical role in the diagnosis and management of these patients. The aim of this review is to aid generalist physicians in diagnosing and treating gout. A case report example is presented to highlight some of the problems in diagnosing and treating gout. Practical practice points are also highlighted.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adrenal Cortex Hormones / therapeutic use
  • Allopurinol / therapeutic use
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Colchicine / therapeutic use
  • Gout / diagnosis*
  • Gout / drug therapy*
  • Gout Suppressants / therapeutic use
  • Humans
  • Male
  • Middle Aged
  • Physicians, Family*
  • Synovial Fluid / chemistry
  • Uric Acid / analysis


  • Adrenal Cortex Hormones
  • Anti-Inflammatory Agents, Non-Steroidal
  • Gout Suppressants
  • Uric Acid
  • Allopurinol
  • Colchicine