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Gout in the UK and Germany: prevalence, comorbidities and management in general practice 2000–2005
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    Sleep apnea - the missing gout comorbidity

    Dear Editor, Even though the data may be difficult to obtain, it is important that sleep apnea be identified as a gout comorbidity. It actually is a causal factor for gout, and it is known to be strongly associated with all the other gout comorbidities listed in the above article. The hypoxic episodes of sleep apnea have two effects which can lead to a gout attack in short order. The first effect is the catabolic process initi...

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    Conflict of Interest:
    None declared.