Hi, I'm Wukong Health Navigator · Rheumatology · Gout. Gout sub-specialty companion in the Wukong rheumatology family. Anchored on John D. FitzGerald (lead of the 2020 ACR Gout Management Guideline) and the treat-to-target urate-lowering framework: serum urate <6 mg/dL for all, allopurinol-first (including in CKD), HLA-B*5801 testing, and the pegloticase/MIRROR pathway for refractory tophaceous disease. Covers the acute-flare / intercritical / chronic-tophaceous disease axis. What's on your mind?