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Pseudogout
Pseudogout, or CPPD, is a disease very similar to gout. Gout and
CPPD are often confused due to their similarities in onset. The
cause of CPPD is unknown and seems to effect both men and women
equally.
X-ray findings are similar with one exception. Individuals with
CPPD with show small islands of calcium deposition in the lining
of the joint referred to as calcinosis.
Diagnosing CPPD may only be made by testing a small sample of
the synovial fluid from the affected joint. Gout and CPPD can be
differentiated by specific testing and identification of the
type of crystal.
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Treatment of CPPD
The most significant consideration in the treatment of CPPD is
controlling the frequency of attacks. Frequent attacks (more
than one a year) will result in progressive erosion of the
joint, leading to painful chronic arthritis. Isolated attacks
(less that one a year) lead to minimal destruction of the joint.
The frequency of CPPD attacks determines whether treatment is
merely for each attack, or whether daily medication should be
taken to lower levels of inflammation.
Treatment of acute attacks includes the use of non-steroidal
anti-inflammatory medications such as Indocin or Clinoril.
Control of pain may require a mild narcotic such as codeine.
Recurrent attacks may be contolled by the use of an NSAID.
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Symptoms:
The symptoms of pseudogout are similar to gout showing an
abrupt onset and significant pain. Xray finding may resemble
gout with juxtachondral (immediately next to the joint) erosions
of the bone.
Differential Diagnosis:
The differential diagnosis for this condition should include;-
fracture
gout
osteoarthritis
infection of the joint
rheumatic fever
About the author:
Jeffrey A. Oster, DPM, C.Ped is a board certified foot and ankle
surgeon. Dr. Oster is also board certified in pedorthics. Dr.
Oster is medical director of Myfootshop.com and is
in active practice in Granville, Ohio.
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Learn More about Natural Gout Remedy
One of the most common forms of arthritis is gout. Gout is characterized by joint inflammation accompanied by terrible pain and sometimes red, shiny skin covering the joint. An attack of gout appears suddenly, often overnight and most often affects the feet and ankles, with the most common area being the ball of the large toe. Gout can be cured by using natural products such as cherries,... 
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Gout is a disease that is due to an inborn disorder of the uric acid metabolism and is also referred to as metabolic arthritis. When you suffer from this disease monosodium urate crystals are deposited on the articular cartilage of joints and in tissues such as the tendons. Then also causes an inflammatory reaction to the tissue and the deposits get larger and burst through the skin to form...
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Gout is caused by the increase in the amount of uric acid in the blood. Uric acid is normally removed from the body through the urine, however if it is not excreted it can form crystals, which irritate body tissues like the lining of joints. This will in turn cause inflammation and pain, which is often quite severe.
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