New gout guidelines court controversy

New guidelines from the American College of Physicians advise doctors not to treat gout to target, in stark contrast to both EULAR and ACR recommendations.

Published this week in the Annals of Internal Medicine, the guidelines recommend corticosteroids, NSAIDs or low-dose colchicine for the treatment of acute gout.

Corticosteroids should be tried first in patients without contraindications, the authors suggest, as they are as effective as NSAIDs but have