Gout or gouty arthritis is a common and painful inflammatory arthritis characterised by deposition of monosodium urate crystals in joint fluid and articular tissue. Gout affected over 7.5 million Americans during 2009–2010, including 1.25 million men and 0.78 million women with moderate or severe renal impairment. The probability of gout can arise depending not only on urate load but also on other risk factors such as older age, obesity, male sex, female menopause, hyperuricaemia, hypertension, chronic kidney disease (CKD), excessive purine-rich diet and excessive alcohol consumption…

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