Ann Rheum Dis doi:10.1136/annrheumdis-2012-203161
  • PostScript
  • Correspondence response

Gout: why is this curable disease so seldom cured?

  1. Suk Chyn Gun2
  1. 1Sime Darby Medical Centre Subang Jaya, Subang Jaya, Malaysia
  2. 2Hospital Tuanku Ja'afar, Seremban, Negeri Sembilan, Malaysia
  1. Correspondence to Dr Swan Sim Yeap, Sime Darby Medical Centre Subang Jaya, No 1, Jalan SS12/1A, Subang Jaya 47500, Malaysia; swanyeap{at}
  • Received 21 December 2012
  • Revised 21 December 2012
  • Accepted 21 December 2012
  • Published Online First 17 January 2013

We read with interest the article by Doherty et al1 in which they lament the suboptimal care of patients with gout, as the majority are managed by non-specialists. In 2005, we had surveyed non-rheumatologists on their practices regarding the management of gout.2 Of the 128 respondents, 52.3% were general practitioners (GPs). A significant proportion of respondents were treating gout suboptimally; 50% would stop allopurinol during an acute attack, once allopurinol was started, only 54.7% would continue indefinitely and 15% would treat asymptomatic hyperuricaemia. As a result of this, in October 2008, the Malaysian Society of Rheumatology and Ministry of Health, …

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