Monday, July 10, 2017

Gouty Bursitis



Gouty bursitis involving the olecranon and prepatellar areas is the most common.

 

These cases of gouty bursitis usually have uric acid crystals present within the fluid. Gout crystals within the fluid are needle shaped and negatively bifringent. The presence of crystals within the bursa does not exclude the presence of infection. The fluid WBC is usually lower within the bursa that anticipated in the joints.

Gouty bursitis of the olecranon bursa is treated by aspiration. A white chalky material is seen coming from the olecranon bursa.



Gouty bursitis of the prepatellar bursa is treated by excision.