@article{Flórez Romero_Vargas_Guevara-Pacheco_2021, title={Gout difficult to management: A case report}, volume={8}, url={https://revistaendocrino.org/index.php/rcedm/article/view/694}, DOI={10.53853/encr.8.1.694}, abstractNote={<p>Gout is an inflammatory arthritis caused by excessive accumulation of monosodium urate crystals at the tissues, with joint involvement predominantly. Its clinical manifestations are varied, usually conditioning a chronic course of the disease. The diagnosis is made through the set of clinical, biochemical and imaging findings. The treatment is based on non-pharmacological and pharmacological measures within which xanthine oxidase inhibitors and uricosurics are described. A case of a male patient with gout of difficult management and refractory hyperuricemia is described.</p>}, number={1}, journal={Revista Colombiana de Endocrinología, Diabetes & Metabolismo}, author={Flórez Romero, Andres and Vargas, Juan José and Guevara-Pacheco , Diana Patricia}, year={2021}, month={Nov.} }