Calcium pyrophosphate crystal deposition disease: diagnosis and treatment

José Luis Rosales-Alexander,1 Jerónimo Balsalobre Aznar,1 César Magro-Checa2 1Rheumatology Department, Hospiten Ramblas, Santa Cruz de Tenerife, 2Rheumatology Department, San Cecilio University Hospital, Granada, Spain Abstract: Calcium pyrophosphate dihydrate crys...

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Autores principales: Rosales-Alexander JL, Balsalobre Aznar J, Magro-Checa C
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Lenguaje:EN
Publicado: Dove Medical Press 2014
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spelling oai:doaj.org-article:98dc04b5e3894e8aa9f25ced14ab11542021-12-02T03:47:29ZCalcium pyrophosphate crystal deposition disease: diagnosis and treatment1179-156Xhttps://doaj.org/article/98dc04b5e3894e8aa9f25ced14ab11542014-05-01T00:00:00Zhttp://www.dovepress.com/calcium-pyrophosphate-crystal-deposition-disease-diagnosis-and-treatme-a16758https://doaj.org/toc/1179-156X José Luis Rosales-Alexander,1 Jerónimo Balsalobre Aznar,1 César Magro-Checa2 1Rheumatology Department, Hospiten Ramblas, Santa Cruz de Tenerife, 2Rheumatology Department, San Cecilio University Hospital, Granada, Spain Abstract: Calcium pyrophosphate dihydrate crystal deposition disease (CPPD) is an inflammatory arthritis produced by the deposition of calcium pyrophosphate (CPP) crystals in the synovium and periarticular soft tissues. It is the third most common inflammatory arthritis. Diagnosis is suspected on the basis of the clinical picture and radiographic/laboratory findings. The reference standard for the diagnosis of CPPD is based on the identification of CPP crystals in synovial fluid by light microscopy, compensated polarized light microscopy, or phase contrast microscopy. Most treatment approaches for CPPD are based upon clinical experience and not upon controlled trials. They range – depending on the subtype and the characteristics of symptoms – from no treatment to interleukin-1 blockade antibodies or specific therapy for an underlying disease. This review summarizes all we know so far about the diagnosis and management of CPPD. Keywords: calcium pyrophosphate dihydrate deposition disease, CPPD, chondrocalcinosis, crystal-induced arthritidesRosales-Alexander JLBalsalobre Aznar JMagro-Checa CDove Medical PressarticleDiseases of the musculoskeletal systemRC925-935ENOpen Access Rheumatology: Research and Reviews, Vol 2014, Iss default, Pp 39-47 (2014)
institution DOAJ
collection DOAJ
language EN
topic Diseases of the musculoskeletal system
RC925-935
spellingShingle Diseases of the musculoskeletal system
RC925-935
Rosales-Alexander JL
Balsalobre Aznar J
Magro-Checa C
Calcium pyrophosphate crystal deposition disease: diagnosis and treatment
description José Luis Rosales-Alexander,1 Jerónimo Balsalobre Aznar,1 César Magro-Checa2 1Rheumatology Department, Hospiten Ramblas, Santa Cruz de Tenerife, 2Rheumatology Department, San Cecilio University Hospital, Granada, Spain Abstract: Calcium pyrophosphate dihydrate crystal deposition disease (CPPD) is an inflammatory arthritis produced by the deposition of calcium pyrophosphate (CPP) crystals in the synovium and periarticular soft tissues. It is the third most common inflammatory arthritis. Diagnosis is suspected on the basis of the clinical picture and radiographic/laboratory findings. The reference standard for the diagnosis of CPPD is based on the identification of CPP crystals in synovial fluid by light microscopy, compensated polarized light microscopy, or phase contrast microscopy. Most treatment approaches for CPPD are based upon clinical experience and not upon controlled trials. They range – depending on the subtype and the characteristics of symptoms – from no treatment to interleukin-1 blockade antibodies or specific therapy for an underlying disease. This review summarizes all we know so far about the diagnosis and management of CPPD. Keywords: calcium pyrophosphate dihydrate deposition disease, CPPD, chondrocalcinosis, crystal-induced arthritides
format article
author Rosales-Alexander JL
Balsalobre Aznar J
Magro-Checa C
author_facet Rosales-Alexander JL
Balsalobre Aznar J
Magro-Checa C
author_sort Rosales-Alexander JL
title Calcium pyrophosphate crystal deposition disease: diagnosis and treatment
title_short Calcium pyrophosphate crystal deposition disease: diagnosis and treatment
title_full Calcium pyrophosphate crystal deposition disease: diagnosis and treatment
title_fullStr Calcium pyrophosphate crystal deposition disease: diagnosis and treatment
title_full_unstemmed Calcium pyrophosphate crystal deposition disease: diagnosis and treatment
title_sort calcium pyrophosphate crystal deposition disease: diagnosis and treatment
publisher Dove Medical Press
publishDate 2014
url https://doaj.org/article/98dc04b5e3894e8aa9f25ced14ab1154
work_keys_str_mv AT rosalesalexanderjl calciumpyrophosphatecrystaldepositiondiseasediagnosisandtreatment
AT balsalobreaznarj calciumpyrophosphatecrystaldepositiondiseasediagnosisandtreatment
AT magrochecac calciumpyrophosphatecrystaldepositiondiseasediagnosisandtreatment
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