Safety of Urate-Lowering Therapies Managing the Risks to Gain the Benefits

被引:15
|
作者
Keenan, Robert T. [1 ,2 ,3 ]
机构
[1] Duke Specialty Infus Ctr, Duke Gout & Crystal Arthropathies Clin, Durham, NC 27710 USA
[2] Duke Univ, Sch Med, Dept Med, Div Rheumatol & Immunol, Durham, NC 27710 USA
[3] Duke Univ, Med Ctr, Durham, NC USA
关键词
Gout; Allopurinol; Febuxostat; Pelgoticase; Safety; STEVENS-JOHNSON-SYNDROME; TOXIC EPIDERMAL NECROLYSIS; PRACTICE RESEARCH DATABASE; US GENERAL-POPULATION; SERUM URATE; HYPERSENSITIVITY SYNDROME; CARDIOVASCULAR-DISEASE; PLASMA OXYPURINOL; ADVERSE-REACTIONS; XANTHINE-OXIDASE;
D O I
10.1016/j.rdc.2012.08.008
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Gout is a metabolic disorder of purine metabolism and uric acid elimination. Over time, acute gout can develop into a chronic, disabling arthropathy, often associated with multiple comorbidities. Gout patients have often been undertreated, partly because of the clinician's perceived risks of a therapy outweighing its potential benefits. The approval of new therapies to treat hyperuricemia in gout has led to a new understanding of gout management and medication safety regarding new and old therapies. This review focuses on potential safety issues of currently available urate-lowering therapies and outlines strategies to minimize risks so their benefits can be reached.
引用
收藏
页码:663 / +
页数:19
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