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Case of the Week 517



What is the most likely diagnosis?

  • 67 year-old with pain and swelling in wrist



Frontal radiograph of wrist

  1. Rheumatoid Arthritis
  2. Sarcoid
  3. CPPD Arhropathy
  4. Gout
  5. Dupuytren's Contracture

Additional Images-None

 

Additional Images

 

 

None


Answer:

 

3. CPPD Arhropathy

 

More (Click Discussion Tab)

 

 

CPPD Arhropathy

General Considerations

  • Chondrocalcinosis – calcification of hyaline (articular) cartilage or fibrocartilage (menisci) or ligaments
    • Usually but not always due to calcium pyrophosphate
      • May also be seen with oxalosis
  • Pseudogout is an older clinical term referring to acute pain (similar to gout) but without response to the usual treatment for gout
  • CPPD – Deposition of crystals in the joint with or without chondrocalcinosis
  • Most common crystalline arthropathy

    MORE . . .

     


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    is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.