How does one explain 'avoid purines in food' if purine-rich plant food isn't counting?
Sustained increase in blood uric acid levels (hyperuricemia) is a risk factor for acute gouty arthritis (Current Pharmaceutical Design).
Purines can increase serum uric acid levels. Intake of hypoxanthine, the main purine in organ meats, red meat and seafood, strongly ...
Diagnosis of gout is based on clinical examination and arthrocentesis (to detect the presence of monosodium urate crystals in the synovial fluid).
The use of serum uric acid (sUA) levels is limited in acute gout flare and can be difficult to interpret. If acute gout attack is suspected in a patient, an elevated sUA (≥6.8 mg/dL) can lend support to the ...
You need to have some synovial fluid drawn from the joint and examined for Crystals. If none are present the condition is not gout.
Other possible causes of symptoms are psoriatic arthritis rheumatoid arthritis septic (infectious arthritis).
The high CRP number indicates an autoimmune condition.
Ask for steroid injection in ankle.
That may give you some ...