TY - JOUR AU - Flórez Romero, Andres AU - Vargas, Juan José AU - Guevara-Pacheco , Diana Patricia PY - 2021/11/01 Y2 - 2024/03/28 TI - Gout difficult to management: A case report JF - Revista Colombiana de Endocrinología, Diabetes & Metabolismo JA - Rev.ACE VL - 8 IS - 1 SE - Clinical cases DO - 10.53853/encr.8.1.694 UR - https://revistaendocrino.org/index.php/rcedm/article/view/694 SP - AB - <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> ER -