In a patient with gouty ahritis, synol fluid aspiration will show-: (A) Needle shaped crystals, (B) Rhomboid shaped crystals, (C) Mononuclear leucocytosis, (D) Polymorphonuclear leukocytosis
Answer is A. During acute gouty attacks, needle-shaped MSU crystals typically are seen both intracellularly and extracellularly . With compensated polarized light, these crystals are brightly birefringent with negative elongation. Ref - Harrisons 20e p2632