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PseudogOut

Description: images-1

 

Feature

Gout

Pseudgout

Synovial fluid analysis

 

- Uric acid crystal
- Needle or rod shaped crystal
- Negatively bisfringent

Calcium pyrophosphate crystal
Rectangular shaped crystal
Positive bisfringent

Involved Joint

Smaller joints (most commoly metatarsophalangeal joint of big toe)

Larger joints most commonly knee

Clinical presentation

- Intense pain

- Moderate pain

Associated with

- ACTH, glucocorticoid withdrawal, hypouricemic therapy
• Hyperuricemia

- Four ‘H’ i.e. hyperparathyroidism, hemochrornatosis, hypophosphatasia, hypomagnesemia.
- Chondrocalcinosis i.e.appearance of calcific material in articular cartilage and menisci





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