Rigsbee Cody A, Sizemore Travis C, Lohr Kristine M
Medicine/Rheumatology, University of Kentucky, Lexington, Kentucky, USA.
BMJ Case Rep. 2018 Sep 28;2018:bcr-2018-226132. doi: 10.1136/bcr-2018-226132.
We report a case of calcium pyrophosphate deposition disease (CPPD) with an unusual presentation of severe chondrocalcinosis with atypical large burden deposited in the metacarpophalangeal joints as well as more typical deposition in wrists and knees as demonstrated on plain radiographs. A 77-year-old African-American woman 1-year status post parathyroidectomy for hyperparathyroidism initially presented to the rheumatology clinic to treat suspected rheumatoid arthritis given her pattern of joint involvement but was found to have CPPD. The patient's history is notable for end-stage renal disease which complicates medical management. This case illustrates radiographic findings of CPPD and explores the challenges of treating CPPD in the setting of comorbid conditions.
我们报告一例焦磷酸钙沉积病（CPPD），其表现不寻常，掌指关节出现严重软骨钙质沉着，有非典型的大量沉积物，腕关节和膝关节则有更典型的沉积物，X线平片可见。一名77岁非裔美国女性，因甲状旁腺功能亢进接受甲状旁腺切除术后1年，最初因关节受累模式就诊于风湿病诊所，怀疑患有类风湿关节炎，但被诊断为CPPD。患者有终末期肾病病史，这使医疗管理变得复杂。本病例说明了CPPD的影像学表现，并探讨了在合并症情况下治疗CPPD的挑战。
