Unusual presentations of gout

Tips for accurate diagnosis

Julito P. Uydepartment of internal medicine, Texas Tech University Health Sciences Center School of Medicine, Amarillo. In addition, Dr Nuwayhid is director of the special clinical immunology laboratory and Dr Saadeh is a staff physician, Department of Veterans Affairs Medical Center, Amarillo.

, MD (Third-year resident) ,

Naziha Nuwayhiddepartment of internal medicine, Texas Tech University Health Sciences Center School of Medicine, Amarillo. In addition, Dr Nuwayhid is director of the special clinical immunology laboratory and Dr Saadeh is a staff physician, Department of Veterans Affairs Medical Center, Amarillo.

, PhD (Assistant professor) &

Constantine Saadehdepartment of internal medicine, Texas Tech University Health Sciences Center School of Medicine, Amarillo. In addition, Dr Nuwayhid is director of the special clinical immunology laboratory and Dr Saadeh is a staff physician, Department of Veterans Affairs Medical Center, Amarillo.

, MD (Regional chairman and associate professor)

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In most cases of gout, classic clues like monoarthritis of the great toe, a pattern of recurring attacks, and characteristic tophi make diagnosis straightforward. When its presentation mimics that of other rheumatic conditions, however, misdiagnosis and inappropriate treatment could impact negatively on both patient morbidity and cost-effectiveness of care.

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Unusual presentations of gout

Tips for accurate diagnosis

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Tips for accurate diagnosis

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