Chapter

Crystal arthropathies

Sandeep Bawa and Paul Wordsworth

in Oxford Textbook of Trauma and Orthopaedics

Second edition

Published on behalf of Oxford University Press

Published in print August 2011 | ISBN: 9780199550647
Published online April 2011 | e-ISBN: 9780199608249 | DOI: http://dx.doi.org/10.1093/med/9780199550647.003.010003

Series: Oxford Textbooks

Crystal arthropathies

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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.

Chapter.  3245 words.  Illustrated.

Subjects: Trauma and Orthopaedic Surgery ; Rheumatology

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