Abstract
Background: Gout is considered one of the most common causes of arthritis worldwide. It has approximately a prevalence of 2.5%. The pathophysiology behind it mainly increases uric acid in the blood, either by increasing production or decreased excretion by the kidney. It usually manifests as a tender, erythematous, and swollen joint. The gold standard to diagnosis is the aspiration of synovial fluid of the affected joint. Acute treatment should be in the emergency department; however, the maintenance can be done at the primary care clinics. Objective: The objective of this review is to discuss Gout disease in clinical presentations, diagnosis, and management, mainly at primary care. Method: We searched the PubMed database looking for relevant articles to the topic using Mesh terms, "Gout disease." Conclusion: Gout disease is considered one of the most common rheumatological disorders globally. A number can be increased by a poor lifestyle such as alcohol consumption and increased red and white meat-eating. Diagnosis can be based on some blood tests, radiological imaging, and aspiration of the joint. Maintenance treatment usually is done at the primary care in which the patient can be given Allopurinol or other urate-lowering drugs.