Scholarlink

<p>Gout is one of the most widespread forms of arthritis worldwide. In Germany, it is usually treated by general practitioners. An acute gout attack is usually diagnosed on a&#xa0;clinical basis. Treatment options for acute gout include nonsteroidal anti-inflammatory drugs (NSAIDs), colchicine or glucocorticoids. Gout is often associated with various comorbidities such as hypertension or renal insufficiency. However, the association is complex and multifactorial, whereby a&#xa0;causal effect of hyperuricemia on chronic kidney disease has not yet been clearly proven. Uric acid-lowering therapy should be initiated in the case of severely impairing attacks, more than one gout attack per year, and tophaceous gout. First choice medication is allopurinol. Asymptomatic hyperuricemia without gout is not an indication for uric acid-lowering therapy.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Update: Gicht in der Hausarztpraxis auf Grundlage der interdisziplinären S3-Leitlinie Diagnostik und Therapie der Gicht

  • 期刊论文

  • 发表日期：

    2025年7月1日

查看全文
  • Bettina Engel,
  • Ilja Karl,
  • Hendrik Napierala,
  • Julia Truthmann

摘要

Gout is one of the most widespread forms of arthritis worldwide. In Germany, it is usually treated by general practitioners. An acute gout attack is usually diagnosed on a clinical basis. Treatment options for acute gout include nonsteroidal anti-inflammatory drugs (NSAIDs), colchicine or glucocorticoids. Gout is often associated with various comorbidities such as hypertension or renal insufficiency. However, the association is complex and multifactorial, whereby a causal effect of hyperuricemia on chronic kidney disease has not yet been clearly proven. Uric acid-lowering therapy should be initiated in the case of severely impairing attacks, more than one gout attack per year, and tophaceous gout. First choice medication is allopurinol. Asymptomatic hyperuricemia without gout is not an indication for uric acid-lowering therapy.