Shirley, in answer to your question, check out this article in the Journal of Rheumatic Diseases (JRD) that discusses the relationship between ET and gout.

https://www.google.com/url?q=https://www.jrd.or...

https://www.jrd.or.kr/journal/view.html

My second oncologist who was likely cutting edge back in the 80's...the EARLY 80's. When I had an appointment with a transplant Dr locally, he told me to stop it. And next appointment with my new local Onco, he told me to stop too, so I did. Then he told me to stop the HU which I was happy to. Even though he had never seen a case of MPN. I stayed with him for a year or two until I found someone better.

Bob, just curious WHO prescribes allopurinol for it. Of course, that has been the old gold standard for gout for as long as I can remember. But it isn’t the standard anymore for anyone. On a personal note, about three years ago, I had all the inflammatory markers of gout, but the uric acid was within normal limits, as well as the sed rate (ESR) and C-reactive protein. No gout but it looked the same and hung on for over a year, finally interpreted as cellulitis that mimicked gout. Another thing that can differentiate gout from pseudogout (another entity that has to be ruled out). On lab examination gout crystals are shaped like a needle, while pseudogout crystals are rhomboid shaped among other differences. In the end, my condition resolved when treated as cellulitis. A doctor who prescribes allopurinol in an MPN patient, IMHO, is hoping it possibly is the more common gout, and if it works, voila, no further head scratching for a solution with multiple tests.

Sure it does. That's why they give you Alopurinol along with it.