All of the following are true regarding acute gouty ahritis, EXCEPT:
High-Yield Explanation
Acute attack of Gout, Uric acid levels may be even low. Rx- NSAIDS and or Colchicine Allopurinol has no role in the treatment of acute gout. Gout Pseudogout Accumulation Mono Sodium Urate (MSU) crystals Calcium Pyrophosphate dihydrate (CPPD) Etiopathogenesis Reduced excretion of uric acid or excessive formation Excessive breakdown of ATP - pyrophosphate - bind with calcium - Hyaline cailages are affected most commonly Joint involved 1st metatarso phalangeal Knee Knee Needle Rhomboid Appearance of crystal on polarized light Negative birefringence Positive birefringence