Gout

Also: crystal arthritis · hyperuricaemia

Gout is a crystal arthropathy caused by urate deposition, presenting as acute attacks and, over time, chronic disease. Management covers acute treatment and urate-lowering therapy.

The diagnostic tools, drugs and pathways are gathered here.

Calculators & scores

2015 ACR/EULAR Gout Classification Criteria

Crystal Arthropathy
ACR/EULAR Gout Classification Criteria 2015

Diagnosis

Decision pathways

Gout Management

EULAR 2016 / BSR 2017

Drugs

Colchicine (Pericarditis / Post-MI Inflammation)

Pericarditis / Coronary Inflammation
Colchicine

Anti-inflammatory — Neutrophilic Dermatoses / Vasculitis
Prednisolone (Systemic)

Systemic Corticosteroid — Acute Dermatoses
Prednisolone

Glucocorticoid (intermediate-acting)
Prednisolone (Sudden Sensorineural Hearing Loss)

Corticosteroid (systemic — SSNHL treatment)
Prednisolone (Oral — Nasal Polyp Reduction)

Systemic Corticosteroid
Prednisolone (Oral — General Medicine)

Oral Corticosteroid
Colchicine (Acute Gout)

Anti-Inflammatory (Microtubule Inhibitor)
Naproxen

NSAID (Non-selective COX Inhibitor)
Allopurinol

Xanthine Oxidase Inhibitor — Urate-lowering Therapy
Febuxostat

Xanthine Oxidase Inhibitor — Urate-lowering Therapy
Prednisolone (IBD / GI Use)

Systemic Corticosteroid

Decision support only. These tools are aggregated by topic to aid navigation — always apply clinical judgement and the relevant national or local guideline.