What are the physical findings of gout and pseudogout?

Updated: Jan 26, 2021
  • Author: Bruce M Rothschild, MD; Chief Editor: Herbert S Diamond, MD  more...
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Answer

Involvement of a single (most common) or multiple joints

Signs of inflammation – Swelling, warmth, erythema (sometimes resembling cellulitis), and tenderness

Fever (also consider infectious arthritis)

Migratory polyarthritis (rare)

Posterior interosseous nerve syndrome (rare)

Tophi in soft tissues (helix of the ear, fingers, toes, prepatellar bursa, olecranon)

Eye involvement – Tophi, crystal-containing conjunctival nodules, band keratopathy, blurred vision, anterior uveitis (rare), scleritis


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