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Episode 168: Crystallizing the evidence for treating and preventing gout

In episode 168, Mike and James welcome back the returning Bruce Arroll who helps us out with the painful issue of how to diagnosis, treat and prevent gout. We crystallize the evidence and stick a needle into the beliefs about diet and colchicine dose. At the end we all go out to celebrate and drink milk and wine because neither are associated with developing gout.

Show notes

1) A Diagnostic Rule for Acute Gouty Arthritis in Primary Care Without Joint Fluid Analysis

Arch Int Med 2010;170:1120-6

2) Tools For Practice

Is colchicine an effective alternative to NSAIDs for the treatment of acute gout?

3) Moderate intake of purine-rich vegetables or protein is not associated with an increased risk of gout

N Engl J Med 2004;350:1093-103

4) Febuxostat vs allopurinol

N Engl J Med 2005; 353:2450-2461

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