Pseudogout
Pseudogout can look very much like gout or joint infection, and getting the diagnosis right matters. I use the pattern of the attack, blood tests, X-rays and where needed joint fluid analysis to sort it out safely.
What pseudogout is
Pseudogout is a crystal arthritis caused by calcium pyrophosphate crystals in the joint. It is also called CPPD disease. It often affects the knee, wrist, shoulder, ankle or elbow and can cause sudden attacks of pain and swelling.
Symptoms to look out for
Sudden hot swollen joint
Pain and stiffness during a flare
Knee or wrist involvement is common
Reduced movement
Sometimes chronic aching resembling osteoarthritis
Why this matters to a rheumatologist
Rheumatology is helpful when diagnosis is uncertain, attacks recur, several joints are involved or joint aspiration is needed to distinguish crystals from infection.
Signs I would like you to seek care for
For emergency symptoms please seek urgent or emergency care first rather than waiting for a WhatsApp reply.
First episode of a hot swollen joint
Fever or feeling very unwell (possible joint infection)
Severe pain or inability to use the joint
Repeated attacks or unclear diagnosis
What a specialist review looks like
I examine the joint, consider blood tests and X-rays, and when appropriate arrange joint fluid analysis because seeing crystals under a microscope can confirm the diagnosis and separate pseudogout from gout or infection.
Questions my patients often ask me
Speak with me
If you have had a hot swollen joint or recurrent attacks and are unsure whether it is gout, pseudogout or something else, WhatsApp my clinic and we can help you decide whether a rheumatology assessment is the right next step.
Other conditions I treat
This page is for general education only and does not replace medical advice. Please consult a qualified healthcare professional for diagnosis and treatment.