Acute Pseudogout of the Neck: "Crowned Dens" Revisited.
10.4078/jrd.2016.23.2.122
- Author:
Hyesun LEE
1
;
Hyeon Su KIM
;
Ui Hong JUNG
;
Hyun Hee KWON
;
Young Hwan LEE
;
Sung Hoon PARK
Author Information
1. Department of Internal Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea. yourii99@cu.ac.kr
- Publication Type:Case Report
- Keywords:
Pseudogout;
Cervical
- MeSH:
Aged;
Arthralgia;
Calcium Pyrophosphate;
Chondrocalcinosis*;
Colchicine;
Diagnosis, Differential;
Fever;
Humans;
Joints;
Knee;
Neck Pain;
Neck*;
Odontoid Process;
Spine
- From:Journal of Rheumatic Diseases
2016;23(2):122-124
- CountryRepublic of Korea
- Language:English
-
Abstract:
Calcium pyrophosphate dihydrate crystal deposition disease is associated with an acute mono- or pauciarthritis, termed "pseudogout" in elderly patients, involving a large joint (including the knees, ankles) or a chronic arthropathy manifesting as mild joint pain and stiffness. Pseudogout is a crystal-deposition disease of peripheral joints, usually encountered in elderly patients. However, acute presentation of pseudogout around the odontoid process comprises a "crowned-dens" appearance, and requires contemplation of differential diagnoses. We recently experienced a case of pseudogout in the cervical spine presenting with fever and acute neck pain that was successfully treated with a colchicine and low-dose oral steroid. We reported this case with a review of the relevant literature.