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ACR/EULAR Gout Classification Criteria

Pattern of joint/bursa involvement during an episode
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Pattern of joint/bursa involvement during an episode
Joint/bursa involvement other than ankle, midfoot, or first MTP (or polyarticular)
Ankle or midfoot (as part of a monoarticular or oligoarticular episode, without first MTP)
First MTP (as part of a monoarticular or oligoarticular episode)
Characteristics of each episode
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Characteristics of each episode
None
1 characteristic
2 characteristics
3 characteristics
Course of episodes
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Course of episodes
No typical course
1 typical course
Recurrent typical episodes
Tophi
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Tophi
None
Present
Serum urate
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Serum urate
< 4mg/dL [< 0.24mM]
≥ 4 or < 6mg/dL [≥ 0.24 or < 0.36mM]
≥ 6 or < 8mg/dL [≥ 0.36 or < 0.48mM]
≥ 8 or < 10mg/dL [≥ 0.48 or < 0.60mM]
Synovial fluid analysis of symptomatic joint or bursa
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Synovial fluid analysis of symptomatic joint or bursa
Negative for MSU
Not performed
Imaging evidence of urate deposition in symptomatic joint/bursa
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Imaging evidence of urate deposition in symptomatic joint/bursa
Absent or not performed
Present
Imaging evidence of gout-related joint damage
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Imaging evidence of gout-related joint damage
None
Present
Score:

Result Interpretation

Criteria: >8 points is diagnosed as positive. PS: Among them,

Characteristics of each episode include:

① Erythema over the joint (reported or observed);

② Joint that cannot tolerate touch or pressure;

③ Difficulty walking or inability to use the joint;

Disease course includes: ≥2 episodes of symptoms, regardless of anti-inflammatory use:

① Maximum pain time < 24 hours;

② Symptoms resolve within ≤14 days;

③ Complete resolution between episodes (return to baseline level);

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