Acute Gout Diagnosis Rule

Risk stratifies for gout vs non-gout arthritis and helps determine which patients benefit most from joint aspiration.

Male Sex

Previous patient-reported arthritis attack

Onset within 1 day

Joint Redness

1st Metatarsophalangeal Joint Involvement

Hypertension or ≥1 Cardiac Diseases

  • Angina MI, CHF, Stroke/TIA, PVD

Serum Uric Acid > 5.88 mg/dL (0.35 mmol/L)

Interpretation

Source: Janssens HM, Fransen J, van de Lisdonk EH, van Riel PM, van Weel C, Janssen M. A Diagnostic Rule for Acute Gouty Arthritis in Primary Care Without Joint Fluid Analysis. Arch Intern Med. 2010;170(13):1120-1126. doi:10.1001/archinternmed.2010.196.
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