Quick Reference

NICE NG219 simplifies diagnosis.
Link to diagnosis section of NG219
If suspected signs and symptoms of gout “Measure urate level to confirm clinical diagnosis.” “If below 360 micromol/litre during a flare and gout is strongly suspected, repeat the serum urate level measure at least 2 weeks after the flare has settled.”

NG219 Management of gout - visual summary
NG219 Long-term management of gout with ULTs visual summary

Titration of Allopurinol - Useful resource from NHS Lothian Rheumatology department.

  • N.b Target urate in above resources differs from is the lower NICE target - <360micromol/L may be appropriate

Resources for patients

New Zealand has a high prevalence of gout and some of their patient resources are excellent.
Healthinfo.org.nz - Gout Management Plan
Healthinfo.org.nz - Self-care for gout

UK Gout Society pdf - All about gout and diet quite wordy but useful and UK based.