CITATION — REFERENCE ENTRY
2015 Gout classification criteria: an American College of Rheumatology/European League Against Rheumatism collaborative initiative — Annals of the Rheumatic Diseases
- Key
- neogi-2015-gout-classification-criteria
- Authors
- Neogi, Tuhina; Jansen, Tim L. Th. A.; Dalbeth, Nicola; Fransen, Jaap; Taylor, William J.
- Issued
- 2015-10
- Type
- article-journal
- Container
- Annals of the Rheumatic Diseases
- Volume
- 74
- Issue
- 10
- Pages
- 1789-1798
Raw CSL JSON
{
"DOI": "10.1136/annrheumdis-2015-208237",
"URL": "https://pmc.ncbi.nlm.nih.gov/articles/PMC4602275/",
"PMID": "26359487",
"note": "22 authors in total; first four and senior author listed. Simultaneously published in Arthritis & Rheumatology 67(10):2557–2568.",
"page": "1789-1798",
"type": "article-journal",
"PMCID": "PMC4602275",
"issue": "10",
"title": "2015 Gout classification criteria: an American College of Rheumatology/European League Against Rheumatism collaborative initiative",
"author": [
{
"given": "Tuhina",
"family": "Neogi"
},
{
"given": "Tim L. Th. A.",
"family": "Jansen"
},
{
"given": "Nicola",
"family": "Dalbeth"
},
{
"given": "Jaap",
"family": "Fransen"
},
{
"given": "William J.",
"family": "Taylor"
}
],
"issued": {
"date-parts": [
[
2015,
10
]
]
},
"volume": "74",
"container-title": "Annals of the Rheumatic Diseases"
}
Claims
-
Without crystal confirmation, the 2015 criteria score clinical features (pattern of joint involvement including the first metatarsophalangeal joint, inability to bear touch, redness, time course of episodes, tophi), serum urate, synovial fluid results, and imaging evidence of urate deposition (ultrasound double-contour sign or dual-energy CT) or gout-related joint damage.
"initial key factors that were identified as being important for classifying gout were presence of MSU crystals, pattern of joint involvement, intensity of symptomatic episodes, time to maximal pain and to resolution, episodic nature of symptoms, presence of clinical tophus, level of serum urate, imaging features ... Modality: ultrasound or DECT Appearance: double-contour sign on ultrasound ... or urate deposition on DECT"
-
Under the 2015 ACR/EULAR criteria, finding monosodium urate crystals in a symptomatic joint, bursa or tophus is sufficient on its own to classify a person as having gout.
"The sufficient criterion was defined as the presence of MSU crystals in a symptomatic joint or bursa (ie, in synovial fluid) or tophus as observed by a trained examiner."
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