1999, Number 4
PDF size: 190.74 Kb.
ABSTRACTWe report the case of three young patients who presented with podagra and had clinical, laboratory, and radiographic features of basic calcium crystal disease. Two of the patients were women; 2/2 had normal serum uric acid levels, and 3/3 had amorphous calcific deposits in the inflammed area. In one patient the aspirated material was amorphous and lacked monosodium urate or calcium pyrophosphate crystals. The cases are discussed in the broader context of conditions that feature podagra.
Fam AG, Rubenstein J. Hydroxyapatite pseudopodagra. Arthritis Rheum 1989; 32: 741-747.
Huskisson EC, Balme HW. Pseudopodagra. Differential diagnosis of gout. Lancet 1972; 2: 269-271.
Canoso JJ, Rubinow A. Pseudo-pseudopodagra. Carta al editor a propósito del artículo de Huskisson y Balme. Lancet 1976; 1: 258-259.
Schumacher HR Jr, Reginato AJ. Apatite crystals and other calcium phosphates. En: Atlas of synovial fluid analysis and crystal identification. Philadelphia: Lea & Febiger, 1991: 133-152.
Fritz P, Bardin T, Laredo J-D. Paradiaphyseal calcific tendinitis with cortical joint erosion. Arthritis Rheum 1994; 37: 718-723.