A case of pseudogout without radiographic evidence of chondrocalcinosis.

DOI
  • Takeno M.
    Department of Orthopaedic Surgery, Kumamoto University Medical School
  • Sakaguchi M.
    Department of Orthopaedic Surgery, Kumamoto University Medical School
  • Ishikawa K.
    Department of Orthopaedic Surgery, Kumamoto University Medical School
  • Mori O.
    Department of Orthopaedic Surgery, Kumamoto University Medical School
  • Izumi K.
    Department of Orthopaedic Surgery, Kumamoto University Medical School
  • Tamura M.
    Department of Orthopaedic Surgery, Kumamoto University Medical School

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Articular chondrocalcinosis with both arthritis and abnormal calcium deposition in hyaline and fibrocartilage was first described as a clinical entity in 1958 by Zitnan and Sitaj (9). Subsquently McCarty et al. (3) identified calcium pyrophosphate dihydrate (CPPD) crystals from both synovial fluid and cartilaginous tissues using compensated polarized light microscopy, x-ray diffraction and infrared spectrophotometry in patients with articular chondrocalcinosis and termed CPPD deposition disease or pseudogout. Although a considerable variation of clinical features has been described (1, 4), pseudogout without radiographic evidence of chondrocalcinosis seems to be very rare and also difficult to determine a correct diagnosis. In this paper, a case of pseudogout without radiographic evidence in either involved or distant joints is presented.

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