[Synovial milieu in gouty arthritis]

The synovial milieu in uric arthritis is characterized with the help of own findings of examinations and data in literature. Apart from the mean values of cytological and biochemical findings of the synovia the changes under therapy are described on the basis of individual examples. The formation of monosodium urate crystals seems to be the starting point of the inflammatory joint process in gout. The size of the arthritic syndrome is among others determined by the local metabolic process, in which case lactate acidosis and reduction of energy as well as the increase of enzyme activities seem to stand in the foreground.