Gout | Diagnosis | Classification Criteria & "Clinical Diagnostic" Rule

Most cases of acute gouty arthritis are diagnosed in primary care and without joint fluid analysis in many instances. Although gout is the most common inflammatory arthritis, it is still frequently misdiagnosed.
Both ACR/EULAR classification criteria (since the existence of diagnostic gold standard) and the easy-to-use clinical diagnostic rule without joint fluid analysis are useful

Moreover, gout and chronic kidney disease (CKD) frequently coexist, but quality evidence to guide gout management in people with CKD is lacking. Use of urate-lowering therapy (ULT) in the context of advanced CKD varies greatly, and professional bodies have issued conflicting recommendations regarding the treatment of gout in people with concomitant CKD. As a result, confusion exists among medical professionals about the appropriate management of people with gout and CKD.