Table 4.

Case series and reports looking at combination therapies.

InterventionNo. Case Series/ReportsTotal No. PatientsPositive OutcomesNegative OutcomesObjective Measure of Outcome?
Rasburicase and allopurinol6211Reduction in tophi; SUA reductionFlare after each infusionSize
Benzbromarone and allopurinol6311Resolution of tophi; improved functionNonePictoral
Anakinra and hemodialysis6411Resolution of tophi; improved functionNonePictoral
Benzbromarone + allopurinol, arthroscopic removal6511Improved functionNoneNone
Debridement, vacuum assisted dressing, and allopurinol6611No recurrence of tophiNoneNone
Excision/ debridement/ joint replacement and allopurinol67,68,69,70,71,72,73,7488Reduction in pain; improved functionPostoperative ischemic ulceration (1); recurrence of tophi (1)None
  • SUA: Serum uric acid.