Summary
Definition
Анамнез и осмотр
Ключевые диагностические факторы
- presença de fatores de risco
- articulações doloridas e sensíveis
- comprometimento de articulações semelhantes a osteoartrite (punhos, ombros)
- piora súbita da osteoartrite
Другие диагностические факторы
- articulações avermelhadas e edemaciadas
- derrame articular e flutuação
- febre e mal-estar
Факторы риска
- idade avançada
- lesão
- hiperparatireoidismo
- hemocromatose
- história familiar de DPFC
- hipomagnesemia
- hipofosfatasia
- gota
- outras condições metabólicas
Диагностические исследования
Исследования, которые показаны в первую очередь
- artrocentese com análise do líquido sinovial
- radiografias das articulações afetadas
- cálcio sérico
- paratormônio sérico
- perfil de ferro
- magnésio sérico
- fosfatase alcalina sérica
Исследования, проведение которых нужно рассмотреть
- ultrassonografia
- Tomografia computadorizada (TC)
Алгоритм лечения
doença monoarticular ou oligoarticular
doença poliarticular
comprometimento crônico e recorrente da articulação do joelho, quadril ou ombro com degeneração grave
com doença do tipo osteoartrite ou do tipo reumatoide
Составители
Авторы
Ann K. Rosenthal, MD
Professor of Medicine
Medical College of Wisconsin
Milwaukee
WI
Раскрытие информации
AKR is the author of several articles cited in this topic.
Рецензенты
Priyanka Iyer, MD
Clinical Assistant Professor
University of California, Irvine
Irvine
CA
Раскрытие информации
PI declares that she has no competing interests.
Ade Adebajo, MBBS, MSc, FRCP (Glasgow), FACP
Consultant Rheumatologist
Rheumatology
University of Sheffield Medical School
Sheffield
UK
Раскрытие информации
AA declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Список литературы
Основные статьи
McCarty DJ. Diagnostic mimicry in arthritis: patterns of joint involvement associated with calcium pyrophosphate dihydrate crystal deposits. Bull Rheum Dis. 1975;25:804-809.
Zhang W, Doherty M, Bardin T, et al. European League Against Rheumatism recommendations for calcium pyrophosphate deposition. Part I: terminology and diagnosis. Ann Rheum Dis. 2011 Apr;70(4):563-70.Полный текст Аннотация
Rosenthal AK, Ryan LM. Calcium Pyrophosphate Deposition Disease. N Engl J Med. 2016 Jun 30;374(26):2575-84.Полный текст Аннотация
Martinez Sanchis A, Pascual E. Intracellular and extracellular CPPD crystals are a regular feature in synovial fluid from uninflamed joints of patients with CPPD related arthropathy. Ann Rheum Dis. 2005 Dec;64(12):1769-72. Аннотация
Zhang W, Doherty M, Pascual E, et al. EULAR recommendations for calcium pyrophosphate deposition. Part II: management. Ann Rheum Dis. 2011 Apr;70(4):571-5.Полный текст Аннотация
Creamer P. Intra-articular corticosteroid treatment in osteoarthritis. Curr Opin Rheumatol. 1999 Sep;11(5):417-21. Аннотация
Статьи, указанные как источники
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Отличия
- Artrite gotosa aguda
- Artrite séptica aguda
- Síndrome do ombro de Milwaukee
Больше ОтличияРекомендации
- European League Against Rheumatism recommendations for calcium pyrophosphate deposition. Part I: terminology and diagnosis
- EULAR recommendations for calcium pyrophosphate deposition. Part II: management
Больше РекомендацииVideos
Demonstração animada de aspiração e injeção no joelho
Больше Видео
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