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Crystal arthropathies 

Crystal arthropathies
Chapter:
Crystal arthropathies
Author(s):

Sandeep Bawa

and Paul Wordsworth

DOI:
10.1093/med/9780199550647.003.010003
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date: 12 December 2019

Always exclude infection in acute hot joint

Raised serum uric acid does not necessarily confirm a diagnosis of gout

Aspiration and microscopy is essential for accurate diagnosis of crystal arthropathies

Non-steroidal anti-inflammatory drugs and intra-articular steroids are the treatments of choice

Wait 2 weeks for acute gout to settle before starting hypouricaemic therapy

Aim for target urate of <300µmol/L.

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