Constantin A, Bouteiller G
Rheumatology Department, General Hospital Center, Auch, France.
Rev Rhum Engl Ed. 1998 Oct;65(10):583-5.
We report five cases of acute neck pain with fever in patients with diffuse articular chondrocalcinosis and computed tomography evidence of calcification of the transverse ligament of the atlas. A review of the relevant literature illustrated the high frequency of this condition, the variability of clinical presentations ranging from episodes of acute neck pain with fever to compression of the proximal spinal cord, the value of computed tomography for determining the site of the calcific deposits and assessing the lesions, and the possibility of deposition of both calcium pyrophosphate dihydrate and hydroxyapatite crystals in the same patient.
我们报告了5例弥漫性关节软骨钙质沉着症患者出现急性颈部疼痛伴发热，且计算机断层扫描显示寰椎横韧带钙化的病例。对相关文献的回顾表明，这种情况很常见，临床表现多样，从急性颈部疼痛伴发热发作到脊髓近端受压不等，计算机断层扫描在确定钙化沉积物部位和评估病变方面具有价值，并且同一患者体内可能同时存在二水焦磷酸钙和羟基磷灰石晶体沉积。
