scholarly journals Acute calcific periarthritis secondary to calcium hydroxyapatite crystal deposition in the wrist: a case report

2020 ◽  
Vol 2020 (12) ◽  
Author(s):  
Joseph A Walker ◽  
Elizabeth R McLean ◽  
Raymond E Anakwe
Keyword(s):  
Case Report ◽  
Clinical Presentation ◽  
Diagnostic Procedures ◽  
Calcium Hydroxyapatite ◽  
Wrist Pain ◽  
Crystal Deposition ◽  
Joint Aspiration ◽  
Hydroxyapatite Crystal ◽  
Inflammatory Drugs ◽  
Calcific Periarthritis

ABSTRACT Acute calcific periarthritis (ACP) is an unusual cause of monoarticular pain characterised by the deposition of calcium hydroxyapatite in the peri-articular and intra-articular tissues. Although the most commonly affected joint is the shoulder, other joints may be involved, including the wrist. This case report describes a 57-year-old female presenting with wrist pain and swelling associated with amorphous calcification overlying the lunate. The patient improved with the use of non-steroidal anti-inflammatory drugs and splinting. Clinician awareness of the clinical presentation and radiographic features of ACP is important to reduce unnecessary invasive diagnostic procedures such as joint aspiration.

scholarly journals Acute calcific tendonitis of dorsal interosseous muscles of the hand: uncommon site of a frequent disease

Reumatismo ◽  
2017 ◽  
Vol 69 (1) ◽  
pp. 43 ◽  
Author(s):  
D. Schneider ◽  
M. Hirsch
Keyword(s):  
Diagnostic Imaging ◽  
Current Literature ◽  
Clinical Presentation ◽  
Calcific Tendinitis ◽  
The Body ◽  
Crystal Deposition ◽  
Hydroxyapatite Crystal ◽  
Calcific Tendonitis ◽  
Muscles Of The Hand ◽  
Acute Calcific Tendinitis

Acute calcific tendinopathy is one of the manifestations of hydroxyapatite crystal deposition disease. While it is more frequent in the shoulder, it has been described in virtually all areas of the body, but rarely in the muscles of the hand. Its etiopathogenesis is not yet fully understood and despite being a fairly frequent condition, it is commonly misdiagnosed. The onset of the disease is usually acute and resolves spontaneously. Acute calcific tendinitis of the interosseous tendons of the hand is an uncommon site of a frequent condition. The clinical presentation is similar to other entities, thus errors in diagnosis frequently occur, resulting in over-treatment or unnecessary tests. We describe a case of acute calcific tendinitis of the interosseous muscles of the hand with a brief review of the current literature with emphasis on diagnostic imaging methods.

scholarly journals Osteomyelitis of the Patella in a 10-Year-Old Girl: A Case Report and Review of the Literature

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Matthias Sperl ◽  
Michael Novak ◽  
Daniela Sperl ◽  
Martin Svehlik ◽  
Georg Singer ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Female Patient ◽  
Clinical Presentation ◽  
Delayed Diagnosis ◽  
Diagnostic Procedures ◽  
Long Bones ◽  
Review Of The Literature ◽  
Present Case Report ◽  
Variable Clinical Presentation

The incidence of osteomyelitis constantly declines. While the disease most commonly affects the long bones, involvement of the patella is rarely seen. Due to this rarity and the variable clinical presentation, diagnosis is often delayed. The present case report describes a 10-year-old female patient with a delayed diagnosis of patella osteomyelitis. The diagnostic procedures and the treatment regimen are described. Additionally, a detailed literature review of the available publications reporting osteomyelitis of the patella in children is presented.

scholarly journals Hydroxyapatite Crystal Deposition Disease of the Shoulder: A Review of Cases and Literature

2018 ◽  
Vol 4 (02) ◽  
pp. 043-046
Author(s):  
Reddy Ravikanth ◽  
Kanagasabai Kamalasekar ◽  
Manu Jacob Abraham ◽  
Ashok Alapati
Keyword(s):  
Soft Tissues ◽  
Joint Destruction ◽  
Polarized Light ◽  
Calcium Hydroxyapatite ◽  
Local Heat ◽  
The Body ◽  
Crystal Deposition ◽  
Hydroxyapatite Crystal ◽  
Heat Application ◽  
Calcium Deposits

AbstractHydroxyapatite crystal deposition diseases (HADDs) are characterized by deposition of insoluble crystals within the joints and periarticular soft tissues, initiating inflammatory destructive reaction. Calcium hydroxyapatite (CHA) is the most common type of calcium in human bone and is also the most common pathologic calcification found in the body. There are three phases of the disease: silent, mechanical, and adhesive phases. The shoulder is the most common site of HADD. CHA crystals are non-birefringent in polarized light. Radiographic characteristics include homogenous, amorphous densities without trabeculations that are variable in size, ovoid, triangular, or linear. The first imaging modalities to identify calcific tendinitis (CT) were X-ray and ultrasound, as calcium deposits are readily identifiable on both. Treatment is chiefly conservative, including nonsteroidal anti-inflammatory drugs (NSAIDs), local heat application, and physiotherapy. Local corticosteroid injections may also be of benefit. When intra-articular, CHA crystals can cause joint destruction such as “ Milwaukee shoulder.” In the acute symptomatic phase of HADD, called acute calcific periarthritis, soft tissue and osseous edema can be present and needs to be differentiated from infection, tumor, and trauma.

scholarly journals Calcific Periarthritis of Metacarpophalangeal Joint Secondary to Ruptured Calcific Dorsal Bursitis – A Case Report

2020 ◽  
Vol 2 ◽  
pp. 152-155
Author(s):  
K. H. Niveditha ◽  
G. Ram Kumar ◽  
D. Sunil Kumar ◽  
Ravindar Kashyap
Keyword(s):  
Case Report ◽  
Calcium Hydroxyapatite ◽  
Metacarpophalangeal Joint ◽  
Accurate Diagnosis ◽  
Imaging Findings ◽  
Patient Anxiety ◽  
Local Pain ◽  
Fourth Finger ◽  
Calcific Periarthritis ◽  
Hydroxyapatite Crystals

Acute calcific periarthritis (ACP) is a painful monoarticular disease commonly involving the shoulder joint, characterized by deposits of calcium hydroxyapatite crystals around joints. Clinical mimics include septic arthritis, gout, and pseudogout. It is a rare disease of hand and only few cases have been reported. We describe the imaging findings of ACP of metacarpophalangeal joint secondary to ruptured calcific dorsal bursitis, in a 30-year-old woman who presented with complaints of local pain and swelling of the left fourth finger. Accurate diagnosis of this condition is essential to avoid unnecessary investigations, procedures, and patient anxiety.

scholarly journals Pseudomyxomaperitonei: A Rare Clinical Entity - A Case Report

Pulse ◽  
2018 ◽  
Vol 10 (1) ◽  
pp. 47-51
Author(s):  
MF Hossain ◽  
MD Hossain ◽  
M Begum ◽  
AMO Shamsi
Keyword(s):  
Case Report ◽  
Rare Disease ◽  
Clinical Presentation ◽  
Primary Tumour ◽  
Treatment Options ◽  
Abdominal Cavity ◽  
Diagnostic Procedures ◽  
Clinical Entity ◽  
Rare Clinical Entity ◽  
Uncommon Disease

Pseudomyxomaperitonei (PMP) is a rare disease characterized by presence of gelatinous ascites and mucinous implants on the peritoneum and omentum. We report the case of a 58 years old woman with primary tumour of the appendix and secondary involvement of other structures & organs of abdominal cavity. Aim of this case report is to create awareness among the clinicians regarding this uncommon disease presented with ascites and irregular masses in the abdomen. In addition, literature on the clinical presentation, diagnostic procedures, and treatment options has been briefly reviewed.Pulse Vol.10 January-December 2017 p.47-51

scholarly journals Drug-Induced Methemoglobinemia: a Case Report and Review of Literature

2014 ◽  
Vol 2 (5) ◽  
pp. 34 ◽  
Author(s):  
Ahmed Zedan ◽  
Sabry Omar ◽  
Mahmoud Fenire
Keyword(s):  
Case Report ◽  
Clinical Presentation ◽  
Diagnostic Procedures ◽  
Blood Levels ◽  
Review Of Literature ◽  
Drug Induced ◽  
Upper Gi ◽  
Life Threatening ◽  
Upper Gi Endoscopy ◽  
Life Threatening Event

Drugs, including those used during diagnostic procedures, can have adverse effects and potentially serious side-effects, especially in complicated patients with significant comorbidity. Benzocaine is frequently used as an oropharyngeal anesthetic agent during bronchoscopy, transesophageal echocardiography, and upper GI endoscopy and can cause methemoglobinemia, a potentially life-threatening event if not diagnosed and treated quickly. Co-oximetry is the gold standard for the diagnosis of methemoglobinemia and can quantitate blood levels, which in turn correlate with the clinical presentation and the urgency for treatment. Methylene blue is the treatment of choice for methemoglobinemia. In this case report we discuss the pathophysiology, the clinical presentation, the diagnosis, and the treatment of benzocaine-induced methemoglobinemia.

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