What is sudo gout or pseudo gout (the first is misspelled)?
What is the difference between uric acid gout resulting in trophi and calcium based deposits of pseudo gout.
What is Sudo Gout or Pseudo Gout?
Pseudogout is a type of arthritic inflammation of joints similar to gout but different. It is caused by crystal deposits of calcium pyrophosphate. As the name implies, it literally means "false gout."
Pseudogout is similar in many ways to gout. The crystal that causes the inflamation in gout is monosodium urate. The crystals that cause pseudogout are from deposits of the accumulation of calcium pyrophosphate crystals. The crystals are also known as so another name for the disease is Calcium Pyrophosphate Dihydrate Deposition disease or CPDD.
CPDD can lead to calcium deposits in the cartilage - a condition known as chondrocalcinosis.
Crystals deposit first in the cartilage and can damage the cartilage. The crystals also can cause a reaction with inflammation that leads to joint pain and swelling. In most cases it is not known why the crystals form. The crystal deposits usually increase with age.
The two types of gout can (although rarely) happen both at the same time. This is evidenced when both crystal types are found in the same joint fluid.
One of the symptoms is sudden painful swelling in one or more joints. It most often affects older adults. Pseudo gout usually affects larger joints like the knee where as gout most often affects the large toe and smaller joints. Knees are most often involved but wrists, shoulders, ankles, elbows or hands can be affected.
The painful episode of pseudo gout can last for days or weeks. It can result in incapacitation.
In time, it can produce a chronic form of arthritis that mimics rheumatoid or osteoarthritis arthritis.
Pseudo gout sometimes runs in families. Research suggests that there may be a genetic predisposition since it is often hereditary.
Your risks do developing it seems to rise with age. As few as 3 percent of people 60 years old are affected. At 90 years old, 50 percent may be affected.
Injury or insult to the joint can trigger the release of calcium crystals, resulting in a painful inflammatory response. Joint surgery or other surgery can result in the development of pseudogout but not necessarily a severe attack.
Dietary calcium does not seem to affect it.
Sudo gout or pseudo gout is easily mistaken for gout and other conditions. Untreated it will lead to sever joint degeneration and disability.
Anyone can get it but the older you are, the greater the chances you will get it.
The only way to truly diagnose is to find and identify the causative calcium pyrophosphate crystals found in the fluid of an affected joint.
Diagnosis is based on symptoms and medical tests. Using a needle, fluid will be taken from the painful joint to determine if the offending crystals are present.
Also an X-ray may be taken of the same area to see if calcium deposits are present, resulting in a condition called chondrocalcinosis.
Other diseases and conditions need to be ruled out like gout, rheumatoid arthritis, or infection, must be ruled out. Pseudogout often is present in people who have osteoarthritis.
Traditional treatment includes anti-inflammatory medications to prevent or control joint symptoms.
Typical treatment includes prescription non-steroidal anti-inflammatory drugs (NSAIDS). These are to treat the pain symptom and limit disability during severe episodes. Medications include...
As a preventative measure, low dose colchicine (available only as a generic) or NSAIDs may be used.
There are no treatments available to dissolve the crystal deposits.
Long term use of some of the traditional medications have numerous side bad side effects.
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More to come on sudo gout or pseudo gout as we develop this further.
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