Presentation

  • First attack can mimic septic arthritis
    • Fever, malaise, leucocytosis and elevated inflammatory markers
  • In females, the first attack may be polyarticular, typically in the hands with gouty tophi
  • Incidence of gout increases with age, in females rarely occurs before menopause
  • Clinical features:
    • Monoarticular involvement of the foot or ankle (especially the first metatarsophalangeal MTP joint)
    • Previous similar acute arthritis episodes
    • Rapid onset of severe pain and swelling (reaching a peak in the intensity of pain and swelling within 24 hours)
    • Erythema
    • Tophi
    • Strong family history of gout
    • Cardiovascular disease and hyperuricaemia in males or postmenopausal females.

Risk Factors

  • Those with comorbidities including hypertension, chronic kidney disease, dyslipidaemia, type 2 diabetes and obesity
  • Those in a catabolic state (e.g. sepsis) or are dehydrated are at an increased risk of developing an acute attack
    • Often occurs during or immediately following hospitalisation
  • Strong family history of gout
  • Medications that inhibit renal excretion of uric acid (e.g. thiazide diuretics, loop diuretics (see Diuretics), ciclosporin)
  • Consumption of purine-rich foods, alcohol or fructose-sweetened drinks
  • Disorders involving high cell turnover (e.g. haematological malignancies, severe psoriasis)

Diagnosis/Investigations

  • Aspiration of an affected joint or bursa is the gold standard for confirming a diagnosis of gout
  • Measure serum uric acid concentration
    • Typically occurs when serum uric acid > 0.42 mmol/L (7 mg/dL)
  • Measure kidney function
  • Clinical diagnosis is supported by:
    • Monoarticular involvement of the foot or ankle or MTP joint
    • Previous similar acute arthritis episodes
    • Rapid onset of severe pain and swelling (reaching a peak in the intensity of pain and swelling within 24 hours)
    • Erythema, tophi
    • Strong family history of gout
    • Cardiovascular disease and hyperuricaemia in males or postmenopausal females
  • A plain X-ray of the joint is useful to identify joint damage due to gout and its presence is an indication for urate-lowering therapy

Management

  • Ideally diagnosis by aspiration should be made prior to starting urate lowering therapy
    • Improvement with colchicine can also happen in pseudogout
  • Overview of management
    • Analgesia for acute gout
    • Discuss lifelong urate-lowering therapy and start using a treat-to-target approach
    • Modify existing medications thought to be contributing

Acute Gout

  • It is safe to start or modify urate-lowering therapy during treatment of an acute attack
  • Corticosteroids local or oral have a lower incidence of adverse effects than oral NSAID therapy
    • Prednisolone (or prednisone) 15-30 mg orally daily until symptoms subside typically 3-5 days
  • Oral NSAIDs
    • Celecoxib 100-200 mg orally daily in 1 or 2 divided doses until symptoms subside
    • Ibuprofen immediate-release 200 to 400 mg orally, 3 or 4 times daily until symptoms subside
    • Naproxen immediate-release 250 to 500 mg orally, twice daily until symptoms subside
    • Naproxen modified-release 750 to 1000 mg orally, daily until symptoms subside
  • Oral colchicine has a small therapeutic window with risk of toxicity and adverse effects at higher doses; unlikely to be effective if not started within 24 hours of an attack
    • Colchicine 1mg orally initially, then 0.5 mg 1 hour later, as a single one-day course
    • Often used together with an NSAID (above) for symptom relief until the flare resolves
    • Avoid in patients with kidney impairment

Chronic Gout

  • Target serum uric acid concentrations
    • Nontophaceous gout: <0.36 mmol/L (6 mg/dL)
    • Tophaceous gout, chronic arthroplasty or frequent attacks: <0.30 mmol/L (5mg/dL) initially until total crystal dissolution and resolution of gout then <0.36 mmol/L (6 mg/dL)
  • Allopurinol 500 mg orally daily then increase the dose by 50 mg every 2 weeks or by 100 mg every 4 weeks up to a maximum daily dose of 900 mg to achieve the target serum uric acid concentration (above)
    • Avoid combination of allopurinol with either azathioprine or mercaptopurine
    • Skin rash is the most common side effect of allopurinol
  • Starting or increasing urate-lowering therapy is associated with a high risk of gout flare, so flare prophylaxis is recommended with colchicine 500 mcg daily for at least 6 months; reduce dosage in kidney impairment or in people who experience diarrhoea
  • Consider adding if not reaching target serum uric acid concentration despite allopurinol adherence:
    • Probenecid 250 mg orally twice daily for 1 week then increasing to 500 mg twice daily; then increase the daily dose by 500 mg every 4 weeks to achieve the target serum uric acid concentration (maximum 2 g daily in divided doses)
  • If allopurinol not tolerated use:
    • Febuxostat 40 mg orally daily for 2 to 4 weeks; then increase the daily dose by 40 mg every 2 to 4 weeks to achieve the target sesrum uric acid concentration. Maximum daily dose 120 mg

Sources

  • eTG: Gout