All

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 C05 Musculoskeletal Diseases D009140 +
  C05.550 Joint Diseases D007592 +
   C05.550.114 Arthritis D001168 +
    C05.550.114.423 Gout D006073 +
     C05.550.114.423.410 Arthritis, Gouty D015210 
 C05 Musculoskeletal Diseases D009140 +
  C05.799 Rheumatic Diseases D012216 +
   C05.799.414 Gout D006073 +
    C05.799.414.410 Arthritis, Gouty D015210 
 C16 Congenital, Hereditary, and Neonatal Diseases and Abnormalities D009358 +
  C16.320 Genetic Diseases, Inborn D030342 +
   C16.320.565 Metabolism, Inborn Errors D008661 +
    C16.320.565.798 Purine-Pyrimidine Metabolism, Inborn Errors D011686 +
     C16.320.565.798.368 Gout D006073 +
      C16.320.565.798.368.410 Arthritis, Gouty D015210 
 C18 Nutritional and Metabolic Diseases D009750 +
  C18.452 Metabolic Diseases D008659 +
   C18.452.648 Metabolism, Inborn Errors D008661 +
    C18.452.648.798 Purine-Pyrimidine Metabolism, Inborn Errors D011686 +
     C18.452.648.798.368 Gout D006073 +
      C18.452.648.798.368.410 Arthritis, Gouty D015210