Dr. Elfishawi, et al reply.
Mohanad Mahmoud ElfishawiCynthia S CrowsonEric L MattesonTim BongartzPublished in: The Journal of rheumatology (2020)
We thank Huang and colleagues1 for their interest in our study on the changes in the presentation of incident gout and the risk of subsequent flare1 We reported changes over time in gout presentation with podagra becoming less frequent, whereas hyperuricemia and chronic kidney disease were predictors of future flares2.