Gout

被引：364

作者：

Neogi, Tuhina

机构：

[1] Boston Univ, Sch Med, Clin Epidemiol Sect, Res & Training Unit, Boston, MA 02118 USA

[2] Boston Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA 02118 USA

来源：

NEW ENGLAND JOURNAL OF MEDICINE | 2011年 / 364卷 / 05期

关键词：

EVIDENCE BASED RECOMMENDATIONS; URIC-ACID LEVELS; RECURRENT GOUT; DOUBLE-BLIND; INCIDENT GOUT; URATE LEVELS; ACUTE FLARES; TASK-FORCE; PHASE-II; RISK;

D O I：

10.1056/NEJMcp1001124

中图分类号：

R5 [内科学];

学科分类号：

100201 [内科学];

摘要：

A 54-year-old man with crystal-proven gout has a history of four attacks during the previous year. Despite receiving 300 mg of allopurinol daily, his serum urate level is 7.2 mg per deciliter (428 mu mol per liter). He is moderately obese and has hypertension, for which he receives hydrochlorothiazide, and his serum creatinine level is 1.0 mg per deciliter (88 mu mol per liter). How should his case be managed?

引用

收藏

页码：443 / 452

页数：10

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