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Synovial fluid examination in hyperuricemic psoriatic patients
Biomedicine & Pharmacotherapy = Biomedecine & Pharmacotherapie
|January 1, 1982
Summary
Joint fluid aspiration in psoriatic patients with high uric acid levels did not reveal gout crystals. This suggests this method is not useful for predicting gout or distinguishing between psoriasis and gouty arthritis.
Area of Science:
- Rheumatology
- Dermatology
- Crystal Arthropathies
Background:
- Psoriasis is associated with hyperuricemia, a risk factor for gout.
- Distinguishing between psoriatic arthritis and gouty arthritis can be challenging.
Purpose of the Study:
- To investigate if joint fluid aspiration in asymptomatic hyperuricemic psoriasis can predict gout development.
- To determine if joint fluid analysis can differentiate psoriasis from gouty arthritis.
Main Methods:
- Aspiration of synovial fluid from the first metatarsophalangeal joint.
- Analysis of aspirated fluid for specific findings, including crystals.
Main Results:
- Monosodium urate crystals were not detected in the aspirated joint fluid.
- The procedure did not yield findings to predict gout development in this cohort.
Conclusions:
- Aspiration of the first metatarsophalangeal joint is unlikely to detect monosodium urate crystals in asymptomatic hyperuricemic psoriasis.
- This diagnostic approach does not aid in differentiating psoriasis from gouty arthritis.