Gout is a relatively common cause of legendary, severe pain as well as tophi, joint deformities, and nephropathy. Unlike most noninfectious diseases, frequently a pharmacologic “cure” for gout is attained. Shortcomings in the management of gout — due to poor patient education and compliance, substandard medical management, and drug toxicity — can perpetuate its adverse effects. The burden of gout is substantial, and recent epidemiologic studies suggest that it is increasing. This increase is probably due to risk factors related to lifestyle.1,2 Acute and chronic arthritis, tophi, and renal disease are manifestations of gout that reflect the magnitude and . . .
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Larry W. Moreland (2005) studied this question.
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