The full guidelines are titled “Diagnosis of Acute Gout: A Clinical Practice Guideline From the American College of Physicians” and “Management of Acute and Recurrent Gout: A Clinical Practice Guideline From the American College of Physicians.” The first guideline was written by A. Qaseem, R. McLean, M. Starkey, and M.A. Forciea, for the Clinical Guidelines Committee of the American College of Physicians; the second guideline was written by A. Qaseem, R.P. Harris, and M.A. Forciea, for the Clinical Guidelines Committee of the American College of Physicians.
This article was published at www.annals.org on 15 November 2016.
The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.
No institutional affiliation
August 8, 2018
Patients' guide to gout treatment
A cause of gout attacks overlooked by almost all medical practitioners is sleep apnea. The intermittent cessation of breathing during sleep leads to excessive concentration of uric acid in the blood (much more quickly than any food would cause), which then precipitates as the urate crystals which cause a gout attack. Because so few physicians are aware of this connection, gout patients need to insist on having a sleep study for sleep apnea, and then follow the recommended treatment for sleep apnea. You will probably find as I did that your gout attacks no longer occur. But as an added benefit, overcoming your sleep apnea will probably extend the length and quality of your life.
Diagnosis and Management of Gout: Clinical Practice Guidelines From the American College of Physicians. Ann Intern Med. ;166:I–16. doi: 10.7326/P16-9025
Download citation file:
Published: Ann Intern Med. 2017;166(1):I-16.
Published at www.annals.org on 1 November 2016
Results provided by:
Copyright © 2019 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use