Urgent Investigation for Suspected Acute Gout or Pseudogout
- X-ray of involved joints
- Aspiration of involved joint (samples for crystal analysis, microscopy and culture)
- Blood culture (×2) if febrile
- Creatinine and electrolytes
- Urate level (may be normal in acute gout; gout and pseudogout may coexist)
- Full blood count
If pseudogout confirmed: - Bone profile: calcium and phosphate, alkaline phosphatase
- Magnesium
- Ferritin, serum iron and total iron binding capacity (to assess for haemochromatosis)
- Thyroid stimulating hormone (hypothyroidism and pseudogout often coexist)
- Parathyroid hormone levels (if hypercalcaemia)
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