Reference

Glossary

Short definitions of words you may hear at the clinic, in alphabetical order.

Last reviewed

Terms A to Z

Allopurinol
A urate-lowering medicine. The 2020 ACR guideline names it as the usual first choice for long-term treatment. See Medicines, by name.
Colchicine
An anti-inflammatory medicine used for gout flares. See During a flare.
CPPD
Calcium pyrophosphate deposition, once called pseudogout. A different crystal arthritis that can look like gout. See Pseudogout and gout.
Crystal
In gout, needle-shaped crystals of urate that form in and around a joint and set off inflammation. See What gout is.
Flare
A sudden attack of pain, swelling, redness, and warmth in a joint. See During a flare.
Hyperuricemia
High urate in the blood. NIAMS notes many people with it never develop gout.
Joint aspiration
Taking a sample of fluid from a joint with a needle so it can be checked for crystals or infection. See How gout is diagnosed.
MTP joint
Metatarsophalangeal joint. The first MTP joint, at the base of the big toe, is the classic place for a gout flare. See Image library.
NSAID
Nonsteroidal anti-inflammatory drug. One kind of medicine used for flares. Not everyone can take one. See Medicines, by name.
Purine
A substance in the body’s tissues and many foods that breaks down into urate. See Food and drink.
Serum urate
The level of urate in the blood, measured with a blood test. Your clinician interprets it; this site prints no target. See Staying well.
Steroid
Short for corticosteroid. An anti-inflammatory that can be given by mouth or by injection for a flare.
Tophus (plural tophi)
A lump of urate crystals under the skin or around a joint, seen in long-standing gout. See What gout is.
Treat-to-target
A strategy where a clinician sets a blood urate goal and adjusts urate-lowering medicine using repeat blood tests until it is reached. The goal is yours to set with your clinician. See Staying well.
Urate-lowering medicine (urate-lowering therapy, ULT)
Long-term medicine that lowers urate, such as allopurinol. See Staying well.
Uric acid
Another name for urate, the substance that builds up in gout. See Causes and triggers.

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