Diagnosis and Clinical Manifestations of Calcium Pyrophosphate and Basic Calcium Phosphate Crystal Deposition Diseases

被引：39

作者：

Ea, Hang-Korng ^{[1
,2
,3
]}

Liote, Frederic ^{[1
,2
,3
]}

机构：

[1] Hop Lariboisiere, AP HP, Ctr Viggo Petersen, Serv Rhumatol, F-75010 Paris, France

[2] Univ Paris Diderot, Sorbonne Paris Cite, UFR Med, F-75205 Paris, France

[3] Hop Lariboisiere, INSERM, UMR S 1132, F-75010 Paris, France

来源：

RHEUMATIC DISEASE CLINICS OF NORTH AMERICA | 2014年 / 40卷 / 02期

关键词：

Calcium pyrophosphate; Basic calcium phosphate; Apatite; Calcification; Calcific tendinitis; Chondrocalcinosis; Crowned dens syndrome; Ultrasonography; CROWNED DENS SYNDROME; MILWAUKEE SHOULDER SYNDROME; ROTATOR CUFF DEFECTS; ACUTE NECK PAIN; SYNOVIAL-FLUID; DIHYDRATE DEPOSITION; TRANSVERSE LIGAMENT; ARTICULAR-CARTILAGE; CERVICAL-SPINE; HYDROXYAPATITE CRYSTALS;

D O I：

10.1016/j.rdc.2014.01.011

中图分类号：

R5 [内科学];

学科分类号：

100201 [内科学];

摘要：

Basic calcium phosphate and pyrophosphate calcium crystals are the 2 main calcium-containing crystals that can deposit in all skeletal tissues. These calcium crystals give rise to numerous manifestations, including acute inflammatory attacks that can mimic alarming and threatening differential diagnoses, osteoarthritis-like lesions, destructive arthropathies, and calcific tendinitis. Awareness of uncommon localizations and manifestations such as intraspinal deposition (eg, crowned dens syndrome, tendinitis of longus colli muscle, massive cervical myelopathy compression) prevents inappropriate procedures and cares. Coupling plain radiography, ultrasonography, computed tomography, and synovial fluid analysis allow accurate diagnosis by directly or indirectly identifying the GRAAL of microcrystal-related symptoms.

引用

页码：207 / +

页数：24

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