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焦磷酸钙二水合物疾病表现的误诊:两例误诊为蜂窝织炎的病例报告。

Confusion With Presentations of Calcium Pyrophosphate Dihydrate Disease: A Report of Two Cases Mistaken for Cellulitis.

作者信息

Rana Masooma S, Raza Mahanoor, Arif Mobeena, Akinpelu Taofeek, Waheed Abdul

机构信息

Family Medicine, Aga Khan University Hospital, Karachi, PAK.

Family Medicine, WellSpan Good Samaritan Hospital, Lebanon, USA.

出版信息

Cureus. 2023 Feb 8;15(2):e34789. doi: 10.7759/cureus.34789. eCollection 2023 Feb.

DOI:10.7759/cureus.34789
PMID:36923207
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10008777/
Abstract

Both pseudogout and cellulitis are diseases that may mimic one another in clinical practice. We discuss two cases of acute calcium pyrophosphate dihydrate (CPPD) arthritis mistaken for cellulitis in the emergency department. Both patients experienced significant improvement after management was changed to treat CPPD. These cases highlight how it is essential for physicians to consider CPPD as a differential diagnosis for a patient that is presenting with signs of inflammation in any joint.

摘要

在临床实践中,假性痛风和蜂窝织炎这两种疾病可能相互误诊。我们讨论两例在急诊科被误诊为蜂窝织炎的急性二水焦磷酸钙(CPPD)关节炎病例。在治疗方案改为针对CPPD进行治疗后,两名患者的病情均有显著改善。这些病例凸显了医生将CPPD作为任何关节出现炎症迹象患者的鉴别诊断的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb4/10008777/f5ff371a554f/cureus-0015-00000034789-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb4/10008777/2908f0b6dc71/cureus-0015-00000034789-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb4/10008777/f557445d7a28/cureus-0015-00000034789-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb4/10008777/c54b5e279c76/cureus-0015-00000034789-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb4/10008777/14fb609bdf8b/cureus-0015-00000034789-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb4/10008777/f5ff371a554f/cureus-0015-00000034789-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb4/10008777/2908f0b6dc71/cureus-0015-00000034789-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb4/10008777/f557445d7a28/cureus-0015-00000034789-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb4/10008777/c54b5e279c76/cureus-0015-00000034789-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb4/10008777/14fb609bdf8b/cureus-0015-00000034789-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb4/10008777/f5ff371a554f/cureus-0015-00000034789-i05.jpg

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1
Confusion With Presentations of Calcium Pyrophosphate Dihydrate Disease: A Report of Two Cases Mistaken for Cellulitis.焦磷酸钙二水合物疾病表现的误诊:两例误诊为蜂窝织炎的病例报告。
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本文引用的文献

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What diagnostic strategies can help differentiate cellulitis from other causes of red legs in primary care?在初级保健中,哪些诊断策略有助于区分蜂窝织炎与导致腿部发红的其他病因?
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An Unusual Case of Acute Chondrocalcinosis in Wrist Joint Presenting as Cellulitis.一例表现为蜂窝织炎的腕关节急性软骨钙质沉着症罕见病例。
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Treatment and management of pseudogout: insights for the clinician.假性痛风的治疗与管理:临床医生的新视角。
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