Gout and Pseudogout
Crystal arthropathy can occur in the perioperative patient and can impede postoperative recovery. Gout or pseudogout should be considered in patients with swollen joints, joint pain, fever, or difficulty with mobilization. Both new diagnoses of and flare of preexisting gout or pseudogout can be seen. Prompt diagnosis and early treatment can prevent barriers to postoperative recovery. Importantly, the typical medications used to treat acute crystal arthropathy may be relatively contraindicated in the immediate postoperative period because of effects on wound healing, bleeding, or renal function so it is important to work with the surgical team to weigh risks and benefits of different treatment options.
KeywordsGout Pseudogout Crystal arthropathy Preoperative Perioperative