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Calcium Pyrophosphate Dihydrate Crystal Deposition Disease (CPPD) (Pseudogout)

Afiesimama BOA - MedPix (2008)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Calcium Pyrophosphate Dihydrate Crystal Deposition Disease (CPPD) (Pseudogout)

History: 61yo Caucasian male with 4-5 year history of intermittent acute episodes of swollen, red, painful knees and left hip. Episodes of pain last 1-2 weeks and are usually relieved with NSAIDs.

Findings: 1.) AP Knee: Chondrocalcinosis demonstrated by wedge shaped calcification seen in the fibrocartilaginous menisci and curvilinear calcification of the hyaline cartilage seen best on the medial aspect of lateral femoral condyle. Calcification of the cruciate ligaments is also appreciated. The medial and lateral tibio-femoral joint spaces remain preserved. 2.) Lateral Knee: The femoro-patellar joint space is preserved with minimal subchondral sclerosis. Curvilinear calcification in the hyaline cartilage of the medial and lateral femoral condyles and the calcified menisci are also seen. 3.) Left Hip: Uniform narrowing of joint space with axial migration of femoral head. Numerous subchondral cysts.Mild degenerative change with osteophyte formation 4.) Right Hip: Joint space preserved. Calcinosis of femoral hyaline cartilage. Sclerotic changes in acetabulum.

Ddx: 1.) Cation disease 2.) Crystal Deposition Disease 3.) Cartilage degeneration from unknown cause.

No MeSH data available.


See case description
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MPX2605_synpic38658: See case description


Calcium Pyrophosphate Dihydrate Crystal Deposition Disease (CPPD) (Pseudogout)

Afiesimama BOA - MedPix (2008)

See case description
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2605&req=5

MPX2605_synpic38658: See case description

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Calcium Pyrophosphate Dihydrate Crystal Deposition Disease (CPPD) (Pseudogout)

History: 61yo Caucasian male with 4-5 year history of intermittent acute episodes of swollen, red, painful knees and left hip. Episodes of pain last 1-2 weeks and are usually relieved with NSAIDs.

Findings: 1.) AP Knee: Chondrocalcinosis demonstrated by wedge shaped calcification seen in the fibrocartilaginous menisci and curvilinear calcification of the hyaline cartilage seen best on the medial aspect of lateral femoral condyle. Calcification of the cruciate ligaments is also appreciated. The medial and lateral tibio-femoral joint spaces remain preserved. 2.) Lateral Knee: The femoro-patellar joint space is preserved with minimal subchondral sclerosis. Curvilinear calcification in the hyaline cartilage of the medial and lateral femoral condyles and the calcified menisci are also seen. 3.) Left Hip: Uniform narrowing of joint space with axial migration of femoral head. Numerous subchondral cysts.Mild degenerative change with osteophyte formation 4.) Right Hip: Joint space preserved. Calcinosis of femoral hyaline cartilage. Sclerotic changes in acetabulum.

Ddx: 1.) Cation disease 2.) Crystal Deposition Disease 3.) Cartilage degeneration from unknown cause.

No MeSH data available.