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Acute Gouty Arthritis During Favipiravir Treatment for Coronavirus Disease 2019
Ryota Hase1,2, Rika Kurata3, Keiko Ishida1,2
1Department of Infectious Diseases, Japanese Red Cross Narita Hospital, Japan.
Abstract:
A 42-year-old man exhibiting hypoxia was diagnosed with coronavirus disease 2019. He had medical histories of type 2 diabetes, hyperlipidemia, hyperuricemia, and gout attack. He received favipiravir for compassionate use for 14 days. Subsequently, he showed increased uric acid levels and developed acute gouty arthritis. Favipiravir may induce not only hyperuricemia but also acute gouty arthritis. It should therefore be used with caution in patients with a history of gout and those with hyperuricemia, especially when used at a higher dose and for a longer duration than is typical.
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