Overview Incidence Risk Factors Symptoms triggers Evaluation Treatment questions for doctor specialist Home Care diet pain and inflammation using a cane using a walker using crutches warning signs Prevention Outlook Complications Underlying Cause Anatomy
- Joint pain
- Joint redness
- Joint swelling
- Joint warmth
- Erythema marginatum may be present
- Skin nodules
Tests are required to make the diagnosis of gout.
Tests that may be used to evaluate gout include:
- Serum uric acid level
- Lyme disease assay
- HLA B27 assay
- Blood anti-DNAse B
- Blood streptozyme
- Blood ASO titers
- Complete blood count
- Erythrocyte sedimentation rate: ESR may be elevated
- Throat culture or rapid strep screen:
- Detects streptococcus bacteria
- Can confirm the diagnosis of gout; microscopic analysis of this fluid should reveal the uric acid crystals that are characteristic for gout.
- A synovial membrane or subcutaneous nodule biopsy can also be used to confirm gout.
- Less commonly used
- MRI scan of joint
- Joint x-rays
Continue to Gout Treatment
PubMed Gout References
- Kim KY, Ralph Schumacher H, Hunsche E, Wertheimer AI, Kong SX. A literature review of the epidemiology and treatment of acute gout. Clin Ther. 2003 Jun;25(6):1593-617. 
- Monu JU, Pope TL Jr. Gout: a clinical and radiologic review. Radiol Clin North Am. 2004 Jan;42(1):169-84. 
- Pal B, Foxall M, Dysart T, Carey F, Whittaker M. How is gout managed in primary care? A review of current practice and proposed guidelines. Clin Rheumatol. 2000;19(1):21-5. 
- Schlesinger N. Diagnosis of gout. Minerva Med. 2007 Dec;98(6):759-67.