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  • #2871

    I was diagnosed yesterday in the ER with Gout.  Textbook symptoms in every way except uric acid is on the low side of normal with 3.9.  Is there a way that this is still gout?  ER doc was stumped.

    #4648

    Possibly pseudo gout?

    You need to see a rheumatologist and get proper diagnosis

    #4657
    zip2play
    Participant

    Serum uric acid sometimes plummets during an acute attack. The oblvious reason is that the circulating UA moves out into the joints where large amounts precipitate and cause the attack.

    If I were you christy, I'd wait until you stop the attack and pain (I recommend colchicine for relief) and then have your blood tested again. With an accurate and enduring UA reading around 3.9 mg./dL it is virtually IMPOSSIBLE to have gout.

    Was you attack the classsic podagra, the inflamed and excruciating pain in the big toe bunion joint?

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