Catherine Burt Driver, MD, is board certified in internal medicine and rheumatology by the American Board of Internal Medicine. Dr. Driver is a member of the American College of Rheumatology. She currently is in active practice in the field of rheumatology in Mission Viejo, Calif., where she is a partner in Mission Internal Medical Group.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
The tendency to develop gout and elevated blood uric acid level (hyperuricemia) is often inherited.
Gout and hyperuricemia are aggravated by
weight gain, alcohol intake,
high blood pressure, fructose in corn syrup found in soft drinks, abnormal kidney function, and certain medications.
Gout pain attacks can be precipitated by
dehydration, injury, fever, heavy eating, heavy alcohol consumption, and
recent trauma or surgery.
The most reliable diagnostic test for gout is the
identification of crystals in joints, body fluids, and tissues.
The treatment of an attack of gouty
arthritis is different than the treatment of
hyperuricemia. There are two key concepts essential to treating gout. First, it is critical to stop acute inflammation of joints affected by gouty arthritis. Second, it is important to address the long-term management of the gout disease in order to prevent future gout arthritis attacks and shrink gouty
tophi crystal deposits.
Reviewed by William C. Shiel Jr., MD, FACP, FACR on 5/31/2012