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Principles of gout management 

Principles of gout management
Principles of gout management

Nicola Dalbeth

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date: 23 October 2019

The main goal of therapy is to achieve ‘remission’—the absence of gout attacks and tophi. A sustained reduction in serum urate is critical to the long-term management of gout and will ultimately result in cessation of gout attacks and resolution of tophi. Target serum urate is <0.36 mmol/L for everyone, although a lower target of <0.30 mmol/L may be required for those with severe tophaceous disease. Patient and physician education about the causes and effective management of gout are required to improve adherence to therapy and thereby long-term outcomes.

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