Limits...
Calcium pyrophosphate dihydrate (CPPD) crystal deposition disease

Roberge EAR - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Calcium pyrophosphate dihydrate (CPPD) crystal deposition disease

History: complains of pain and stiffness in bilateral knees.

Findings: There is bilateral symmetric narrowing of the joint spaces with sclerotic changes of the subchondral tibial plateaus. There are tibial and patellar osteophytes bilaterally and a large quadriceps enthesophyte of the right patella. There is bilateral calcification of the menisci. There are bilateral fabellae. A dystrophic calcification of the superficial tissues overlying the left popliteal fossa is noted. There is calcification of the right superficial femoral to popliteal artery and of the left popliteal artery.

Ddx: The differential diagnosis for the chondrocalcinosis seen in this case can be remembered by the mnemonic "HOGWASH." Hyperparathyroidism, Ochronosis (alkaptonuria), Gout, Wilson's disease, Arthritides (any), (P)Seudogout: CPPD, and Hemochromatosis. Of the entities associated with chondrocalcinosis CPPD is by far the most common to affect the medial and lateral compartments of the knee.

Dxhow: This diagnosis can be confirmed by joint aspiration.

Exam: Range of motion is limited to 120 degrees without pain. Tenderness to palpation with patellar compression and along the medial jointlines bilaterally.

No MeSH data available.


lateral view of the left knee
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=MPX1931&req=5

MPX1931_synpic20716: lateral view of the left knee


Calcium pyrophosphate dihydrate (CPPD) crystal deposition disease

Roberge EAR - MedPix

lateral view of the left knee
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1931&req=5

MPX1931_synpic20716: lateral view of the left knee

View Article: MedPix Image - MedPix Case

Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Calcium pyrophosphate dihydrate (CPPD) crystal deposition disease

History: complains of pain and stiffness in bilateral knees.

Findings: There is bilateral symmetric narrowing of the joint spaces with sclerotic changes of the subchondral tibial plateaus. There are tibial and patellar osteophytes bilaterally and a large quadriceps enthesophyte of the right patella. There is bilateral calcification of the menisci. There are bilateral fabellae. A dystrophic calcification of the superficial tissues overlying the left popliteal fossa is noted. There is calcification of the right superficial femoral to popliteal artery and of the left popliteal artery.

Ddx: The differential diagnosis for the chondrocalcinosis seen in this case can be remembered by the mnemonic "HOGWASH." Hyperparathyroidism, Ochronosis (alkaptonuria), Gout, Wilson's disease, Arthritides (any), (P)Seudogout: CPPD, and Hemochromatosis. Of the entities associated with chondrocalcinosis CPPD is by far the most common to affect the medial and lateral compartments of the knee.

Dxhow: This diagnosis can be confirmed by joint aspiration.

Exam: Range of motion is limited to 120 degrees without pain. Tenderness to palpation with patellar compression and along the medial jointlines bilaterally.

No MeSH data available.