What events may trigger an acute attack of gout?
- Alcohol ingestion.
- Initiation of urate lowering therapy (ULT).
- Dietary excess of purines.
- Acute medical illness including infections.
- Exercise.
- Drugs.
- Trauma.
- Radiation or chemotherapy.
- Fructose ingestion.
- Surgery (postoperative days 3–5).
- Dehydration.
- Other physiologic stressors.
