Sousa Anna Paula Duque, Moura Carlos, da Hora Priscila Ribeiro, Santiago Mittermayer
Service of Rheumatology of Santa Izabel Hospital, Praça Almeida Couto 500, Salvador, BA, Brazil.
Department of Internal Medicine, Bahiana School of Medicine and Public Health, Avenida Dom João VI 275, Brotas, Salvador, BA, Brazil.
Oxf Med Case Reports. 2019 May 31;2019(5):omz030. doi: 10.1093/omcr/omz030. eCollection 2019 May.
Crystal formation and deposition in the joints is an important and common cause of acute arthritis. The disease may present with fever and systemic signs. In this report, we describe the case of a 70-year-old man, who presented with a sudden and incapacitating polyarthritis of large and small joints, fever, asthenia and leukocytosis. After extensive investigation, radiography of the joints showed the presence of chondrocalcinosis. A few days after the beginning of the treatment with colchicine, he became completely asymptomatic, drawing one's attention of calcium crystal-associated arthropathy as a cause of febrile systemic inflammatory disease particularly in elderly population.
关节内晶体形成和沉积是急性关节炎的一个重要且常见病因。该病可能伴有发热和全身症状。在本报告中，我们描述了一名70岁男性的病例，他突发大小关节均受累且严重影响功能的多关节炎，伴有发热、乏力和白细胞增多。经过广泛检查，关节X线检查显示存在软骨钙质沉着症。使用秋水仙碱治疗几天后，他完全无症状，这使人们注意到钙晶体相关关节病是发热性全身炎症性疾病的一个病因，尤其是在老年人群中。
