Arthropathies due to Microcrystals — Expert Clinical Reference
Internal Medicine · Clinical Specialties
How it begins
Referencia exhaustiva de nivel experto sobre gota, artropatía por pirofosfato de calcio (CPPD), depósito de fosfato básico de calcio (BCP) y artropatía por oxalato. Fisiopatología molecular, diagnóstico, criterios de clasificación y tratamiento actualizado (EULAR 2016 / ACR 2020).
What it covers
- Arthropathies due to Microcrystals
- 1. Introduction and Classification of Microcrystal Arthropathies
- 2. Shared Molecular Pathophysiology
- · 2.1 The NLRP3 Inflammasome — Central Axis of Crystal Inflammation
- · 2.2 Differences in Inflammatory Potency by Crystal Type
- 3. Analysis of Synovial Fluid in Microcrystal Arthropathies
- · 3.1 Polarized Light Microscopy — Interpretation
- 4. Gout: Epidemiology, Risk Factors and Hyperuricemia
- · 4.1 Uric Acid Metabolism
- · 4.2 Hyperuricemia: Definition and Mechanisms
- · 4.3 Risk Factors for Gout
- 5. Pathophysiology of MSU Deposition and Tophi Formation
- · 5.1 MSU Nucleation and Precipitation
- · 5.2 Formation of Gouty Tophus
- 6. Clinical Spectrum of Gout
- · 6.1 Asymptomatic Hyperuricemia
- · 6.2 Acute Gouty Arthritis
- · 6.3 Intercritical Drop
- · 6.4 Chronic Tophaceous Gout
- 7. Diagnosis and Classification Criteria of Gout
- · 7.1 ACR/EULAR 2015 Classification Criteria
- · 7.2 Laboratory in Gota
- 8. Image in the Drop
- · 8.1 Simple X-ray
- · 8.2 Musculoskeletal Ultrasound — Characteristic Findings
- · 8.3 Dual Energy CT (DECT) — Non-Invasive Gold Standard
- 9. Treatment of Acute Gout Attack
- · 9.1 NSAIDs (Non-Steroidal Anti-Inflammatory Drugs)
- · 9.2 Colchicine
- · 9.3 Corticosteroids
- · 9.4 IL-1 Inhibitors (Anti-IL-1)
- 10. Long-Term Hypoglycemic Therapy
- · 10.1 When to Start Hypourice-lowering Treatment?
- · 10.2 Xanthine Oxidase Inhibitors (XOI)
- · 10.3 Uricosurics
- · 10.4 Recombinant Uricases — Refractory Drop
- 11. Gout in Special Situations
- · 11.1 Gout and Chronic Kidney Disease
- · 11.2 Gout in Organ Transplantation
- · 11.3 Gout and Cardiovascular Disease
- 12. Calcium Pyrophosphate Arthropathy (CPPD) — General
- · 12.1 Pathophysiology of CPP Deposition
- · 12.2 Metabolic Conditions Associated with CPPD
- 13. CPPD Clinical Forms
- · 13.1 Asymptomatic PDPH (Incidental Radiological Chondrocalcinosis)
- · 13.2 Acute Arthritis due to CPP (Pseudogout)
- · 13.3 Chronic Arthropathy due to CPP (Rheumatoid Pseudoarthritis and Rapidly Destructive OA)
- 14. Diagnosis of CPPD
- · 14.1 Simple X-ray — Chondrocalcinosis
- · 14.2 Ultrasound in CPPD
- 15. Treatment of arthropathy due to CPPD
- · 15.1 Treatment of Acute Attack of Pseudogout
- · 15.2 Prophylaxis and Chronic Treatment
- 16. Basic Calcium Phosphate (BCP) Deposition / Calcifying Tendinitis and Milwaukee Syndrome
- · 16.1 Calcifying tendinitis (HADD)
- · 16.2 Milwaukee syndrome
- 17. Calcium Oxalate Arthropathy
- · 17.1 Primary Oxalosis (Types I, II and III)
- · 17.2 Secondary Oxalosis (Terminal Renal Failure and Dialysis)
- 18. Global Comparative Table of Microcrystal Arthropathies
- 19. Advanced Imaging in Microcrystal Arthropathies
- · 19.1 Magnetic Resonance
- · 19.2 DECT in Microcrystal Arthropathies
- · 19.3 PET-CT in Gota
- 20. Fundamental Clinical Correlations
- · 20.1 Integrated Diagnostic Algorithm in Acute Monoarticular Arthritis
The complete study guide is in the app
This page summarizes the outline. The full interactive study guide —with high-yield diagrams, clinical tables, and board review cases— can be read inside Epistemis, completely offline and ad-free.
- Subject
- Internal Medicine
- Category
- Clinical Specialties
- Type
- Study Guide
- Sections
- 66
- Reviewed
- 2026-08-02