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Os navicularis and gout

Discussion in 'General Issues and Discussion Forum' started by Liz C, Oct 22, 2008.

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  1. Liz C

    Liz C Member


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    Can anyone tell me their experience with gout at the site of a large os navicularis? Have sent a patient for blood tests, as all signs and symptoms point towards gout, but wondering if the presence of the os navicularis increases likelyhood?
    Ta
     
  2. drsarbes

    drsarbes Well-Known Member

    Hi Liz (again):

    I cannot say that I have ever seen an acute gout attack localized to an accessory navicular. I've seen a few "global" gout attacks involving just about the entire foot and ankle, but none limited to just the Navicular area.

    As you know there are several types of Accessory Naviculars, I believe only type II and III are considered intraarticular.

    Have you ruled out the more common separated accessory navicular?

    Steve
     
  3. Craig Payne

    Craig Payne Moderator

    Articles:
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    Blood tests will tell you nothing. If you still suspect gout, get them on Colchicine for 36-48 hrs ... if its gout, then this will work dramatically. .... but like Steve said, do not rule other things.
     
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