Santhosh Kumar M. N
A 64-year old male patient had recurrent episodes of pain and swelling, predominantly involving bilateral knees with right knee more involved than left over a period of about 4-5 years. Occasionally, he had multiple joint involvement including small joints of hands. There was no characteristic morning stiffness. Clinically, there was effusion in both knees with right knee more involved than left. The yearly recurrence or exacerbations were 3-4 on an average. The aspirations from the joint had an appearance similar to septic arthritis with turbid appearance and on most occasions the quantity was over 60-80 ml in each leg. The more symptomatic side at the time of presentation was often right which alone was surgically interfered with.
