Hi, I had a 12 yr old girl in OPD complaining of joint pain including B/L ankle joints, elbow joints and knee joints. Joint swelling present in both ankles and joint restriction in RT elbow. She was investigated by a local practitioner. ESR was 20, CRP 12, ASLO negative. Rest all investigations were normal. Her Uric acid levels were 9.8. Now how to go about this case.
Start Allopurinol alone or combine it with Probenecid. What dose and duration? What is the trade name of Probenecid? Do we need to investigate her further? Her Ana, ds DNA are negative. RA test, Anti CCP negative. Only result which is positive and alo goes in favour of joint pain is Hyperuricemia.
