7/31/2014

Pseudogout - A different Type of Gout

Pseudogout - A different Type of Gout

Gout and pseudogout appear to the same condition on the surface with the symptoms being very similar. But the crystals that are forming and creating the pain and swelling are different for each.

Pseudogout is another type of inflammatory arthritis marked by sudden pain, swelling, and inflammation of the joints. These painful events can last for days or weeks. Pseudogout commonly presents in older adults and most usually impacts the knees.Pseudogout has a rapid start of pain, caused by calcium pyrophosphate crystals, and usually has an effect on the large joints of the arms and legs.

Symptoms:

Pseudogout usually episodes the knee joints, as well as the ankles, hands, wrists, elbows and shoulders. Symptoms of pseudogout include:

Edema (swelling) of the important joints, inflammation, warmth, severe joint pain

Causes of Pseudogout:

Calcium pyrophosphate dihydrate (CPPD) varieties in the joint's cartilage, then crystalizes and accumulates in the lining, or perhaps synovium of the joint, resulting in the pain, swelling, and inflammation.

Roughly 50% of people over the age of 85 have CPPD crystals in a selection of their joints but continue to be free of signs and symptoms.

The medical name for pseudogout is calcium pyrophosphate deposition and it may cause the break down of cartilage at the joints.

Risks include:

Family members with pseudogout.

Hypothyroidism - an underactive thyroid gland.

Hemochromatosis - excessive iron safekeeping.

Overactive parathyroid gland.

Hypercalcemia (elevated calcium in the blood).

Failure of the kidneys.

Diabetes.

A recent surgical procedure.

Injury to the joint parts.

Diagnostic testing:

Pseudogout can often be misdiagnosed as gout, as well as osteoarthritis or perhaps rheumatoid arthritis. That is why testing is important to distinguish between gout, pseudogout, and other arthritic conditions.

Pseudogouts diagnostic tests include:

Aspiration needle biopsy of synovial fluid

X-rays: X-rays of your knee can reveal other conditions caused by CPPD crystals, such as crystal deposits in the joint cartilage (chondrocalcinosis) and joint damage.

Your doctor will determine the cause of joint pain and inflammation, such as infection, gout, injury, and rheumatoid arthritis.Complications:

The CPPD crystal deposits can result in damage to the joint structure. Damage can be caused by:

Fractures, cysts, bone spurs and loss of cartilage.

Treatment of Pseudogout:

Treatment focuses on reduction of pain and swelling. However, remedy does not eliminate the CPPD deposits from your joints.

Treatment includes:

Taking anti-inflammatories to help reduce inflammation.

Nonsteroidal anti-inflammatory drugs (NSAIDs): Such as ibuprofen (Advil, Motrin, others), naproxen (Aleve) and also indomethacin (Indocin). Side effects can include abdomen blood loss and kidney damage.

Colchicine: If NSAID's are contraindicated after that these can be used to help manage pseudogout. Possible side effects are nausea, pains in the stomach, nausea, vomiting, diarrhea and bleeding.

Joint aspiration and injection: For relief of pain and pressure in the joint, by eliminating some of the fluid present in the affected joint. An injection of corticosteroids reduces inflammation and a great anaesthetic in order to in the short term numb your joint.

Low doses of colchicine are effective in preventing future attacks of pseudogout, as future attacks will always be a possibility. Preventing all of them will have better success by following your doctor's orders and taking your medications since prescribed to prevent issues and prevent future attacks.

Jared Wright may be the marketing manager of Clivir.com - A free learning community site where you can learn more about gout. You can follow the links to find more related articles such as gout safe food diet and gout ankle signs and symptoms pictures.