$Unique_ID{BRK02350}
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$Title{What Is the Pseudogout or False Gout?}
$Subject{false gout pseudogout chondrocalcinosis calcifications joint
cartilage deposits cppd calcium pyrophosphate dihydrate lubricates joints
synovial fluid colchicine swelling corticosteroid indomethacin ill defined
symptoms symptom knee knees ankle ankles calcification deposit fluids swell
swells}
$Volume{N-17}
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Copyright (c) 1992,1993   Tribune Media Services, Inc.


What Is the Pseudogout or False Gout?


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QUESTION:  Is there a condition that looks and acts like gout, but really
isn't?  I think it is called "false gout" and I would like to learn more about
it.  Can you help me, please?

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ANSWER:   Yes, there is a condition sometimes known as "pseudogout" or "false
gout" as you will have it.  Actually it's a joint disease that may show itself
in many ways, frequently with painful attacks that very much resemble those of
gout.  Its also know in medical circles as "chondrocalcinosis" which can be
translated as "calcifications in the joint cartilage".  Actually these
deposits may be seen on x-ray, and help make the diagnosis.  The
calcifications are composed of the substance CPPD (calcium pyrophosphate
dihydrate), and crystals of this chemical may be contained in the fluid that
lubricates the joints (synovial fluid).  By checking the fluid under the
microscope for the presence of these crystals, a diagnosis of pseudogout is
possible.  The cause of the condition is unknown, affecting both sexes about
equally and generally coming on late in life.
     While gout attacks the big toe in its most common form, pseudogout shows
a preference for the knee and other larger joints.  When acute attacks occur,
they may be treated with colchicine, a medication which is also effective in
treating gout.  When there is joint swelling during the attack, the liquid
should be drained by tapping the knee with a hypodermic syringe and needle,
and then injecting corticosteroid (cortisone-like medication) back into the
joint to help reduce the inflammation.  Oral medications, such as
indomethacin, are also helpful in treating this painful condition, and the
outlook for the patient usually is excellent.

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The material contained here is "FOR INFORMATION ONLY" and should not replace
the counsel and advice of your personal physician.  Promptly consulting your
doctor is the best path to a quick and successful resolution of any medical
problem.