What department to register for gout

If an acute attack of gout causes gouty arthritis, you can consult the emergency department for symptomatic pain relief treatment. When gout is in remission for uric acid-lowering treatment, you can register with the rheumatology and immunology department or the endocrinology department. If gout causes gouty nephropathy, it is recommended to consult the nephrology department. If gout causes urinary stones, urinary tract obstruction, hydronephrosis, etc., it is recommended to consult the urology department. In summary, the department that a gout patient visits depends on the gout symptoms, as well as the related complications. Gout is caused by the deposition of uric acid salts in the skin, bones and joints, resulting in acute and chronic inflammation, and is divided into primary and secondary gout. Primary gout is mainly caused by a combination of environmental and genetic factors, with genetic factors mainly seen in patients with familial hereditary hyperuricemia, and environmental factors mainly related to the patient’s acquired dietary habits, obesity, metabolic status, and co-morbidities. Secondary gout is commonly caused by renal failure, which leads to impaired uric acid excretion and consequently gout, in addition to some drugs that inhibit uric acid metabolism. Gout attacks are mainly characterized by acute arthrosis, which occurs in the early morning or midnight, with an acute onset and severe pain in the affected joints. Uric acid crystals can be detected in the joint fluid, which is one of the evidence to confirm the diagnosis of the disease. In addition, recurrent attacks of gout can cause gouty nephropathy and gouty urinary calculi formation.