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.
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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
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Published: Ann Intern Med. 2017;166(1):I-16.
Published at www.annals.org on 1 November 2016
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