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Gout or Pseudogout

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stuart06735
stuart06735

New to this forum and trying to decide if I have gout or not. My rheumatologist doesn't seem to think it is gout since I do not have typical symptoms like severely swollen, red, hot joint pain. Recently had a dual energy CT scan and no evidence of uric acid crystals but possible CPPD accumulation (pseudogout). When I get attacks, my pain is primarily in my left second toe and metatarsal joints of both feet. Often spreads to soft tissue plantar facia and heels and sometimes up into ankles and or spreading up legs. The pain is like a pinch or prickly with a dull pain from slight inflammation in the joints. My blood uric acid levels have never been high. They were 6.4 when first tested at the onset of pain in Jan, then down to 5 ish then after starting allopurinol down to 4 ish. I used to drink beer regularly but haven't been able to tolerate it since Jan. In my discussions with my rheumatologist, I have asked that if it is not gout, then diet / alcohol shouldn't trigger an attack. Am I right?

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