Abstract
The clinical manifestations and complications of gout vary widely. Early diagnosis is imperative if ideal results of treatment are to be achieved. Acute gout often is confused with rheumatic fever (in the young adult male), pyogenic arthritis, rheumatoid arthritis, or pseudogout. Chronic gout also may be mistaken for rheumatoid arthritis, and the tophi of chronic gout may be overlooked.
The author discusses the basic principles in the diagnosis of gout and points out the value of certain diagnostic procedures.