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Rheumatology · Emergency Medicine · Internal Medicine

2015 ACR/EULAR Gout Classification calculator

Enter the published formula inputs below to calculate and interpret this score.

Clinical inputs

Pattern of joint/bursa involvement
Characteristics of symptomatic episode(s)
Time course of episode(s)
Serum urate (highest, off ULT)

Result

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Clinical inputs

  • Entry: ≥1 episode of peripheral joint/bursa swelling, pain, or tenderness
  • MSU crystals in symptomatic joint/bursa or tophus (sufficient)
  • Pattern of joint/bursa involvement
  • Characteristics of symptomatic episode(s)
  • Time course of episode(s)
  • Clinical tophus
  • Serum urate (highest, off ULT)
  • Synovial fluid MSU negative (−2)
  • Imaging urate deposition (US double-contour or DECT)
  • Radiographic gout-related erosion (+4)

Primary source

Neogi T et al. 2015 Gout classification criteria: an ACR/EULAR collaborative initiative. Ann Rheum Dis. DOI: 10.1136/annrheumdis-2015-208237. PMID: 26359487. Scope: entry (≥1 peripheral joint/bursa episode) required; MSU crystals sufficient (scored as 23); else weighted domains (joint pattern 0/1/2, episode characteristics 0–3, time course 0/1/2, tophus +4, serum urate −4/0/2/3/4, SF MSU-negative −2, imaging urate +4, erosion +4); classify gout if total ≥8. (2015)

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