A landmark study published online December 11 in Arthritis & Rheumatism by Hyon K. Choi, MD, DrPH, from Boston University School of Medicine, Massachusetts, and Sydney University, Australia, and colleagues confirmed the widely held assumption that gout is more likely to flare at night and challenged the common impression that attacks are more likely after alcohol or purine dietary indulgence.

Dr Choi, currently director of Clinical Epidemiology at Massachusetts General Hospital/Harvard Medical School in Boston, told Medscape Medical News that the 2.36-fold greater risk for nocturnal gout attacks has direct implications for clinicians treating patients with gout.

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