Pseudogout Flashcards
What is another term for psuedogout?
Chondrocalcinosis
What is pseudogout?
It is defined as a crystal arthropathy in which there is calcium pyrophosphate dihydrate crystals in the synovium
Which three joints tend to be affected by pseudogout?
Knee
Shoulder
Wrist
Which joint is most commonly affected by pseudogout?
Knee
What are the nine risk factors associated with pseudogout?
Older Age > 60 Years Old
Female Gender
Family History
Hyperparathyroidism
Acromegaly
Haemochromatosis
Wilson’s Disease
Hypophosphatemia
Hypomagnesaemia
What are the four clincial features of pseudogout?
Severe Joint Pain
Joint Swelling
Joint Erythema
Joint Warmth
What two investigations are used to diagnose pseudogout?
X-Ray Scans
Joint Fluid Aspiration
What are the five features of pseudogout on x-ray scans?
Chondrocalcinosis
Joint Space Loss
Osteophytes
Subarticular Sclerosis
Subchondral Cysts
What is chondrocalcinosis?
It is defined as calcification of the menisci and articular cartilage, which appears as a thin white line in the joint space
What are the four features of pseudogout on joint fluid aspiration?
No Bacterial Growth
Calcium Pyrophosphate Crystals
Rhomboid Shaped Crystals
Positive Birefringent of Polarised Light
What are the two pharmacological management options of pseudogout?
NSAIDs
Corticosteroids
When are NSAIDs used to manage pseudogout?
They are the first line management option of acute attacks
Name two NSAIDs used to manage pseudogout
Ibuprofen
Naproxen
When are corticosteroids used to manage pseudogout?
They are the second line management option of acute attacks
Name a corticosteroid used to manage pseudogout
Prednisolone
