a diagnostic checklist
Confirming the diagnosis http://www.nhs.uk/Conditions/Gout/Pages/Diagnosis.aspx
"As checking the joints for crystals is not always practical in general practice, a checklist is often used. This is based on the known pattern of symptoms associated with the condition.
The checklist used is as follows:
•You have had more than one attack with symptoms of pain, swelling and inflammation.
•You have experienced high levels of inflammation within just one day of the onset of symptoms.
•Symptoms only affect one joint at a time.
•The joint in your big toe or other foot joints have been affected.
•Results of the serum acid test show raised levels of uric acid in your blood.
•Physical examination or X-rays have detected swelling within a joint.
•There is no evidence that your joint has been infected by bacteria.
You will usually be diagnosed with gout if at least six of the statements above apply to you."
Case report 599 (1990)http://www.ccjm.org/content/75/Suppl_5/S9.full.pdf
"The term oxalate gout has been suggested for the occurrence of joint involvement and symptoms in secondary oxalosis , acknowledging its first use by Loeper in 1932."
Articular Oxalate Crystals and the Taxonomy of Gout (1988)http://jama.jamanetwork.com/article.asp ... eid=373733
"Rosenthal et al1 report the case of an anephric, dialyzed patient experiencing acute arthritis associated with calcium oxalate crystals. Together with reports from Hoffman et al,2 Schumacher et al,3 and Reginato et al,4 this observation establishes an unequivocal place for oxalate among the solutes that abnormally crystallize in and around human joints."
my approach: no meds so far - just nutrient-dense anti-inflammatory whole foods, and supplements where needed
info: www.whfoods.com, www.nutritiondata.com