Abstract
Gout is a presentation of uric acid disturbance. It is the most well understood and described type of arthritis. Hyperuricemia and gouty arthritis presented by acute and chronic. The role of genetic predisposition is becoming more evident. The clinical picture of gout is divided into symptomatic normosuria; asymptomatic hyperuricemia, acute gouty arthritis, intercritical period, and chronic tophaceous gout. Diagnosis is based on laboratory and radiological features. The gold standard of diagnosis is identication of characteristic MSU crystals in the synovial uid using polarized light microscopy. Imaging modalities include conventional radiography. Management of gout includes management of ares, chronic gout and prevention of ares, as well as management of comorbidities. Newer drugs in the pharmacological armamentarium are proving successful and supplement older ones. Other important points in its management include patient education, diet and life style changes, as well as cessation of hyperuricemic drugs
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