Gout is a common disorder of uric acid metabolism that can lead to recurrent episodes of joint inflammation, tissue deposition of uric acid crystals, and joint destruction if left untreated. A definitive diagnosis can be made using joint aspiration and synovial fluid analysis. Dietary instructions should be given to all patients suffering from gout. Management of acute gout: options for treatment of acute gout include nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, or colchicine. In many cases, patients who have a first attack of gout should undergo therapy with agents that lower uric acid. The goal of therapy is to lower serum uric acid levels to approximately 5-6 mg/dL.


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