Sudo Gout or Pseudo Gout
What is sudo gout or pseudo gout (the first is misspelled)?
What is the difference between uric acid gout resulting in trophi and the calcium based deposits of pseudo gout.
What is Sudo Gout or Pseudo Gout?
Pronounced: SOO-doh-gowt.
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 inflammation 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 in and around and can cause damage to the cartilage. The crystals also can cause inflammation that leads to joint pain and swelling. In most cases it is not known why the crystals form. The risk of crystal deposits usually increases as we get older.
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 incapacitate those who are afflicted.
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.
- Hypothyroidism (under-active thyroid)
- Hemaochromatosis (excess iron storage)
- Low magnesium levels in the blood
- Overactive Parathyroid gland
- Hypercalcemia (excessive calcium in the blood)
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.
While dietary calcium does not seem to affect it, there is considerable evidence that calcium supplements of any kind are not healthy and may even be dangerous. Calcium supplements may cause or make the problem worse.
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...
Indomethacin (Indocin)
Naproxen (Naprosyn)
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.
There is little scientific evidence regarding the use of cysteine boosting benefits. All of the current information is anecdotal or success stories of those who derived benefits.
A less expensive and tastier treatment option is to go on a raw food diet. This involves eating 50 percent of your meals as raw fruits and vegetables. One caution with Raw Diets: If you have gut issues, the raw diet may put undue stress on your gut. Many with gut inflammation, while an increase in vegetables will help, will do better with their diet if it is steamed or at least lightly cooked.
There are simple ways to boost your glutathione and eliminate the pain. The raw beet salad works great. Increasing the number of cruciferous vegetables in your diet.
Tart cherry juice concentrate with just two tsp in a glass of water will help.
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More to come on sudo gout or pseudo gout as we develop this further.
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