Arthritis Conditions Crystal Arthropathies Pseudogout

Pseudogout Gout

Pseudo Gout (Chondrocalcinosis), also known as calcium pyrophosphate deposition disease (CPDD), is a form of arthritis that shares some similarities with gout but is caused by a different type of crystal deposition. In these cases, the condition is caused by calcium pyrophosphate dihydrate crystals, which are slightly different from the uric acid crystals causing the classic gout. It is seen commonly in and around the hand, especially in the wrist and creates pain, swelling and discomfort as a result of the inflammatory response to these crystals.

Pseudogout is poorly understood, and it is usually not associated with the classic metabolic syndrome that we see with gout, where diet and metabolic reasons create and contribute to the formation of uric acid buildup. The exact reasons behind the crystal formation are therefore not entirely clear, but factors that increase the risk of developing pseudogout include age, genetics, medical conditions and joint trauma. Pseudogout is commonly seen in association with osteoarthritis, and one is not sure as to whether this pseudogout comes first or if this is the result of osteoarthritis.


The treatment of pseudogout looks at how it presents in the joints. If there is a substantial loss of cartilage, then this is managed accordingly, like treatment for osteoarthritis, which may include a joint replacement or limited fusion of the joints. In certain cases, there can be a tendonitis-type picture, especially on the front side of the wrist, associated with chondrocalcinosis (calcification) of the flexor carpi radialis tendon. There are no metabolic markers that we can test for pseudogout in the blood as we can test for gout, and the diagnosis is usually made radiologically. Other forms of treatment include medication such as anti-inflammatory drugs corticosteroids, together with lifestyle changes.

With the right treatment approach, individuals with pseudogout can alleviate pain, manage symptoms, and improve their overall quality of life.

It's important to consult with our qualified healthcare professionals to ensure the appropriate diagnosis and treatment plan for your specific situation.