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Tests and diagnosis

By Mayo Clinic staff

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Tests to help diagnose gout may include:

  • Joint fluid test. Your doctor may use a needle to draw fluid from your affected joint. When examined under the microscope, your joint fluid may reveal urate crystals.
  • Blood test. Your doctor may recommend a blood test to measure the uric acid level in your blood. Blood test results can be misleading, though. Some people have high uric acid levels, but never experience gout. And some people have signs and symptoms of gout, but don't have unusual levels of uric acid in their blood.
References
  1. Gout. American College of Rheumatology. http://www.rheumatology.org/practice/clinical/patients/diseases_and_conditions/gout.asp. Accessed Oct. 20, 2011.
  2. Gout. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merckmanuals.com/professional/musculoskeletal_and_connective_tissue_disorders/crystal-induced_arthritides/gout.html. Accessed Oct. 20, 2011.
  3. Becker MA. Clinical manifestations and diagnosis of gout. http://www.uptodate.com/home/index.html. Accessed Oct. 24, 2011.
  4. Becker MA. Treatment of acute gout. http://www.uptodate.com/home/index.html. Accessed Oct. 20, 2011.
  5. Hayman S, et al. Gout: Is a purine-restricted diet still recommended? Journal of the American Dietetic Association. 2009;109:1652.
  6. Dietary Guidelines for Americans, 2010. U.S. Department of Health and Human Services. http://www.cnpp.usda.gov/DGAs2010-PolicyDocument.htm. Accessed Oct. 25, 2011.
  7. Demio PC. Gout. In: Rakel D. Integrative Medicine. 2nd ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/das/book/body/208746819-2/0/1494/0.html. Accessed Oct. 24, 2011.
  8. Yu K-H, et al. Dietary factors associated with hyperuricemia in adults. Seminars in Arthritis and Rheumatism. 2008;37:243.
  9. Becker MA. Prevention of recurrent gout. http://www.uptodate.com/home/index.html. Accessed Oct. 20, 2011.
  10. Zimmerman B. Gout. In: Ferri FF. Ferri's Clinical Advisor 2012: 5 Books in 1. Philadelphia, Pa.: Mosby Elsevier; 2012. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-0-323-05611-3..C2009-0-38601-8--TOP&isbn=978-0-323-05611-3&uniqId=291436269-101. Accessed Oct. 24, 2011.
  11. Questions and answers about gout. National Institute of Arthritis and Musculoskeletal and Skin Diseases. http://www.niams.nih.gov/Health_Info/Gout/default.asp. Accessed Oct. 24, 2011.
  12. Neogi T. Gout. New England Journal of Medicine. 2011;364:443.
DS00090 Dec. 6, 2011

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