FN: Calcium Pyrophosphate Dehydrate arthropathy Flashcards

1
Q

Definition

A

Pseduogout/Chondrocalcinosis

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2
Q

Acute CPPD

A
  • Presents as acute monoarthropathy: usually knee, wrist or hip
  • usually spontaneous and self-limiting
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3
Q

Chronic CPPD

A
  • Destructive changes like OA

- Can present as poly-arthritis (pseudo-rheumatoid)

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4
Q

Risk Factors

A
  • Increasing Age
  • OA
  • DM
  • Hypothyroidism
  • Hyperparathyroidism
  • Hereditary haemochromatosis
  • Wilsons disease
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5
Q

Investigations

A
  • Polarized light microscopy: positively birefringement rhomboid- shaped crystals
  • X-ray may show chondrocalcinosis: soft-tissue Ca deposition (e.g. knee cartilage)
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6
Q

Rx

A
  • Analgesia
  • NSAIDS
  • May try steroids: Po, IM or intra-articular
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