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Gout is a form of inflammatory arthritis characterized by sharp pain and severe swelling that often causes severe physical disability. Gout is caused by the chronic elevation of uric acid levels in the blood and is known as the disease of kings due to its strong association with a diet rich in fructose and beer. Recent studies suggest that a high uric acid concentration is the result of a dynamical process that highlights the interactions between leptin production, insulin resistance, lowdoi:10.4236/jamp.2018.612215 fatcat:adwbzydgsvesri3ee6nb7haqiu