Pseudogout signs and symptoms can mimic those of gout and other types of arthritis, so lab and imaging tests are usually necessary to confirm a diagnosis.
Lab tests:
Blood tests can check for problems with your thyroid and parathyroid glands, as well as for a variety of mineral imbalances that have been linked to pseudogout. Your doctor may withdraw a sample of the fluid from your affected joint with a needle to test for the presence of crystals.
Imaging tests:
X-rays of your affected joint often can reveal joint damage and crystal deposits in the joint's cartilage.
Treatment:
There's no cure for pseudogout, but a combination of treatments can help relieve pain and improve the joint's function.
Medications:
• Nonsteroidal anti-inflammatory drugs (NSAIDs): Prescription strength NSAIDs include naproxen (Anaprox, Naprosyn, others) and indomethacin (Indocin). NSAIDs can cause stomach bleeding and decreased kidney function, especially in older adults.
• Colchicine (Colcrys): Low-dose pills of this gout drug are also effective for pseudogout. If you have frequent episodes of pseudogout, your doctor may recommend that you take colchicine daily as a preventive measure.
• Corticosteroids: If you can't take NSAIDs or colchicine, your doctor may suggest taking corticosteroid pills, such as prednisone, to reduce inflammation and end the attack. Long-term use of corticosteroids can weaken bones and cause cataracts, diabetes and weight gain.
Courtesy: Mayo Clinic
