Michael Pillinger

Dr. Michael Pillinger, an expert in gout management and treatment strategies, shares his insights on acute and long-term care for gout sufferers. He delves into the critical role of lifestyle changes and triggers that can provoke painful flare-ups. The conversation highlights the importance of urate-lowering therapies and how medications like allopurinol and newer treatments, such as peglodicase, can make a difference. Pillinger also discusses personalized treatment plans and the need for careful dosing, especially in patients with kidney issues.

Dr. Michael Pillinger, a rheumatology professor at NYU and an expert in gout, shares valuable insights into the condition's presentation and diagnosis. He discusses a case study of a 55-year-old male patient experiencing an acute gout attack, emphasizing the importance of differential diagnoses. Pillinger elaborates on gout's historical context and the biological mechanisms behind uric acid crystal formation. He also explains the critical role of joint aspiration in diagnosis and explores various imaging techniques to distinguish between chronic and acute gout cases.