Jozélio Freire de Carvalho MD PhD, Carlos Ewerton Rodrigues
A 65-year-old man had a long history of gout attacks, beginning at the age of 35 years. The disease was never well controlled. The patient did not follow diets, nor did he adhere to medication recommendations. He presented with systemic arterial hypertension, overweight (body mass index 29 kg/m2), and metabolic syndrome.