Pseudogout

Question 1

What is the definition of pseudogout?

Answer 1

paroxysmal joint inflammation due to calcium pyrophosphate crystal deposition.

Question 2

What kinds of crystals are found in pseudogout?

Answer 2

1. calcium pyrophosphate crystals

Question 3

Which joints are commonly affected?

Answer 3

knee, wrist and shoulders

Question 4

Name 3 major investigations?

Answer 4

1. Synovial fluid aspiration
2. X ray of the joint
3. Uric acid levels

Question 5

Results of : Synovial fluid aspiration?

Answer 5

Rhomboid-shaped,

positively birefringent

Calcium pyrophosphate crystals

Question 6

Results of : X ray?

Answer 6

Chrondrocalcinosis - cartilage calcification

Question 7

Results of : Uric acid levels?

Answer 7

Normal uric acid levels

Question 8

First line initial tx?

Answer 8

NSAIDs

Question 9

Second line initial tx?

Answer 9

Colchine