A patient with acute polyarthritis due to crystal-positive simultaneous gout and pseudogout affecting different joints is described. The case emphasises the importance of aspirating more than one involved joint and carefully searching for crystals in patients with acute arthritis involving 2 or more joints, particular those in whom the diagnosis of multiple crystalline joint disease is considered.

Objectives: To present a case of pancreatitis, panniculitis and polyarthritis syndome, including the full spectrum of the arthritis component. Methods: A case of PPP syndrome was examined, with a detailed review of the patient's synovial fluid aspirate including cell count, crystals, culture and a lipid analysis which was compared to a control patient. Results: The synovial fluid aspirate from ...

A 34 years female was referred with a history of intermittent low to high grade fever with characteristic evening rise alongwith joint pains. There was symmetrical involvement of both small and largejoints of the body overthe preceding 6 months, with deterioration over preceding month so much so that she could not walk and became bed bound. The patient reported that her joints were stiff on wak...