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Gout is considered a progressive disease which will eventually end up as severe tophaceous gout (with joint damage and significant functional impairment) in the absence of effective long-term therapy (1).
The disease is commonly divided into the following phases:
- initial asymptomatic hyperuricaemia
- recurrent acute gout attacks interspersed with asymptomatic intercritical periods
- chronic symptomatic tophaceous gout (with inadequately treated hyperuricemia) (1).
Note:
- it should be noted that these are not discrete phases but a continuum (1).
Reference:
Last reviewed 07/2021
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