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What will the ER do for gout? Gout Emergency Department Visits Up. Gout, a common form of inflammatory arthritis, results from both genetic and environmental factors. Physicians must actively manage gout patients to prevent elevated blood levels of uric acid from forming the thin, rod-like monosodium urate (MSU) crystals that deposit in the joints. Do uric acid crystals show up on xray? Tophi are soft tissue masses created by the deposition of urate crystals. Urate is not inherently radio-opaque. The varying densities seen on radiographs is due to calcium precipitation with the urate crystals. The following radiographic shows tophi at the 1st and 2nd MCPs and the IP joint of the thumb. Why do I have chronic gout? Gout occurs when urate crystals accumulate in your joint, causing the inflammation and intense pain of a gout attack. Urate crystals can form when you have high levels of uric acid in your blood. Your body produces uric acid when it breaks down purines — substances that are found naturally in your body.
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