Gout and Pseudogout

  • Elizabeth KaplanEmail author


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.


Gout Pseudogout Crystal arthropathy Preoperative Perioperative 


  1. 1.
    Craig MH, Poole GV, Hauser CJ. Postsurgical gout. Am Surg. 1995;61(1):56–9.PubMedGoogle Scholar
  2. 2.
    Kang EH, Lee EY, Lee YU, Song YW, Lee EB. Clinical features and risk factors of postsurgical gout. Ann Rheum Dis. 2008;67(9):1271–5.CrossRefGoogle Scholar
  3. 3.
    Gardner G, Mandel B. Assessing and managing rheumatologic disorders. In: Jaffer A, Grant P, editors. Perioperative medicine: medical consultation and comanagement. 1st ed. New Jersey: Wiley-Blackwell; 2012. p. 222–3. 4. 207(1): p. 53–9.Open image in new windowGoogle Scholar

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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Medicine, Division of General Internal MedicineUniversity of WashingtonSeattleUSA

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