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Revmatologisk avdeling Diakonhjemmets sykehus, Oslo.
The diagnosis of gout is confirmed by detection of monosodium urate crystals in the fluid of the joint or from tophi. This article discusses treatment of acute gout, prevention of acute attacks and treatment of hyperuricemia. Non-steroidal anti-inflammatory drugs are recommended as drugs of choice in treatment of acute gout. Self-administration of non-steroidal anti-inflammatory drugs is recommended for prevention of gout. Drugs to counteract hyperuricemia should be used only on specific indications. Measurement of the "24-hour" urinary uric acid content is important when deciding treatment.
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