Published online Nov 12, 2014. doi: 10.5499/wjr.v4.i3.62
Revised: August 8, 2014
Accepted: September 4, 2014
Published online: November 12, 2014
Core tip: Gout is a common disease caused by the deposition of monosodium urate (MSU) crystals in patients with hyperuricemia, and characterized by very painful recurrent acute attacks of arthritis. The gold standard for diagnosing gout is the identification of MSU crystals in synovial fluid. Arthritis attacks are treated with anti-inflammatory medications, to prevent gout uric acid lowering therapy can be prescribed. When gout is adequately treated, the prognosis is good. Comorbidities as chronic kidney disease, cardiovascular diseases, and the metabolic syndrome are associated with gout. Gout patients must be early screened for cardiovascular risk factors.