Weber M, Gerber H
Klinik für Rheumatologie und Rehabilitation, Stadtspital Triemli, Zürich.
Schweiz Med Wochenschr. 1991 May 4;121(18):642-5.
Articular chondrocalcinosis, or pseudogout, is characterized by the deposition of calcium pyrophosphate dehydrate (CPPD) crystals. Vertebral involvement in CPPD crystal deposition disease is known and includes in particular the ligamentum flavum, the posterior longitudinal ligament and the intervertebral disc. We report on 3 elderly patients with peracute cervical syndrome. Plain radiographs showed the usual degenerations. Computerized tomography scans revealed a calcified transverse atlas ligament. The erythrocyte sedimentation rate was elevated. Plain radiographs showed chondrocalcinosis of the hands and knees. The symptoms subsided after 2 days' therapy with antiinflammatory drugs. We conclude that chondrocalcinosis may often be an undetected cause of acute cervical vertebral pain in the elderly patient.
关节软骨钙质沉着症，即假痛风，其特征为焦磷酸钙二水合物（CPPD）晶体沉积。已知CPPD晶体沉积病可累及脊椎，尤其包括黄韧带、后纵韧带和椎间盘。我们报告3例患有急性颈综合征的老年患者。X线平片显示常见退变。计算机断层扫描显示寰椎横韧带钙化。红细胞沉降率升高。X线平片显示手和膝关节软骨钙质沉着症。经抗炎药物治疗2天后症状缓解。我们得出结论，软骨钙质沉着症可能常常是老年患者急性颈椎疼痛未被发现的病因。
