Clinical and pseudo gout treatment

Pseudo gout is a calcium phosphate crystals due to coke deposition in articular cartilage and its surrounding tissues caused by arthritis as the main performance of the disease, gout and similar symptoms due to its name, also known as coke or calcium phosphate calmly disease calcification of cartilage . More common in those over 50 years old, the incidence increased with age and the increase in male to female ratio was 1.4:1. [Causes] Cause unknown, possibly genetic, metabolic disorders and trauma durable-related. Coke because of basic calcium deposition. [Diagnosis] (A) Clinical that Joint disease: Most knee, followed by the hip, shoulder, elbow, ankle, wrist and metacarpophalangeal joints, arthritis or osteoarthritis with a single, joint swelling significantly, but less pain, morning stiffness can occur, flexion contracture. 2, accompanied by other diseases, a related clinical manifestations, such as hyperthyroidism, diabetes, hemoglobin diseases such as deposition performance. (2) laboratory 1, blood test: the acute phase, interleukin increased erythrocyte sedimentation rate increase soon. Normal serum uric acid are, rheumatoid factor negative. 2, synovial fluid examination: polarized light microscope examination showed a weak positive optical birefringence of the calcium phosphate crystal Coke. (C) X-ray examination Articular cartilage, the fiber cartilage, tendon, Gunang calcification, particularly fibrocartilage point line and calcification, common in the knee, wrist, pubic symphysis, spine and other cities in the annulus fibrosus, may be associated with degenerative joint osteophyte formation Yan performance. (4) Differential Diagnosis 1, gouty arthritis: purine diet and regular as induced by alcohol, violation of a multi metatarsophalangeal joint, dorsal foot, ankle, increased serum uric acid, found in the synovial fluid urate crystal X-ray showed Yuanzao convey joint-bone defect. 2, rheumatoid arthritis: a predilection for young people, a large migratory arthritis, inflammatory lesions and dissipated after joint function can be fully restored, accompanied heart inflammation, subcutaneous nodules, annular erythema, high-moisture O , the effect of salicylic acid preparation, and X-ray without special permits. [Treatment] 1, general treatment: acute phase of bed rest, Chigaohuanshi to avoid joint activities and excessive trauma. 2, non-steroidal anti-inflammatory drugs: acute arthritis, may choose to use anti-inflammatory pain, or help, in his experience, such as Lin symptomatic treatment. 3, glucocorticoid: acute stage, joints fluid aspiration, to benefit limethason 2.5-5 mg / time, intra-articular injection. 4, surgical treatment: joint serious wrecker artificial arthroplasty.