Published online Jul 12, 2013. doi: 10.5499/wjr.v3.i2.6
Revised: April 23, 2013
Accepted: June 1, 2013
Published online: July 12, 2013
Core tip: The treatment of acute gout in patients with multiple comorbodities is problematic. Adrenocorticotropic hormone (ACTH) is an effective, safe and easy to use therapeutic tool for these patients. ACTH is probably the most attractive choice. Evidence suggests that it is safe and does not seem to associate with immunussupperssion; moreover ACTH is a low cost drug at least in Europe.