Rheumatology Book

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Gout Clinical Prediction Rule

Aka: Gout Clinical Prediction Rule
  1. See Also
    1. Gouty Arthritis
    2. Joint Pain
    3. Monoarticular Arthritis
    4. Polyarticular Arthritis
  2. Criteria
    1. Score 0.5: Acute Onset symptoms with peak on Day 1
    2. Score 1.0: Joint Erythema
    3. Score 1.5: Hypertension or cardiovascular disease
    4. Score 2.0: Male gender
    5. Score 2.0: Prior episode of Arthritis or Joint Pain
    6. Score 2.5: First metatarsophalangeal joint (MCP joint) involvement
    7. Score 3.5: Serum Uric Acid >5.8 mg/dl (0.35 mmol/L)
  3. Interpretation: Based on Total Score from Criteria (0 to 13 points possible)
    1. High Risk (Total >= 8)
      1. Consistent with Gouty Arthritis diagnosis
    2. Intermediate Risk (Total 4.5 to 7.5)
      1. Seek additional clinical data (e.g. Joint Aspiration and polarized light microscopy)
    3. Low Risk (Total <= 4)
      1. Consider alternative diagnosis
  4. References
    1. Kienhorst (2015) Rheumatology 54(4): 609-14 [PubMed]

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