tag:blogger.com,1999:blog-4082643038671225434.post8785080914352015148..comments2023-10-07T01:34:01.774-07:00Comments on Case of the Day: Crystal ClearCraighttp://www.blogger.com/profile/17072102331564743101noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-4082643038671225434.post-84902546058473850002016-06-06T13:37:33.149-07:002016-06-06T13:37:33.149-07:00you're right in that it's uric acid - but ...you're right in that it's uric acid - but instead of gout, it's from tumor lysis. we use rasburicase for treatment, which is expensive but effective<br />-<br />Crystal Clear<br /><br />This is tumor lysis syndrome leading to release of large amounts of potassium, phosphate, and nucleic acids. Catabolism of the nucleic acids leads to hyperuricemia; the image shows uric acid crystals. <br /><br />Source: UpToDate.Craighttps://www.blogger.com/profile/17072102331564743101noreply@blogger.comtag:blogger.com,1999:blog-4082643038671225434.post-67846590508429272762016-05-31T01:24:13.153-07:002016-05-31T01:24:13.153-07:00looks a lot like the cristalls in gout.. so my gue...looks a lot like the cristalls in gout.. so my guess would be uric acid, due to the acute kidney failure less Uric acid is excreted and the accumulation can cause precipitation of cristals. <br /><br />what's the next therapeutic step?RaHnoreply@blogger.com