1. CALCIUM PYROPHOSPHATE DIHYDRATE (CPPD) CRYSTAL DEPOSITION DISEASE
Pseudogout

2. Red, hot inflammed joint. Not uncommon in shoulder, or hip
Red, hot inflammed joint. Not uncommon in shoulder, or hip. Poly articular fasion, mimic RA
Lose joint sense
Calcium crystal deposited in cartilage (major difference from gout, in bone and around soft tissues)
May be asymptomatic except ca in cartilage
Seen many in hospitalized pt p surgery

3. CPPD CRYSTAL DEPOSITION DISEASE: DISEASE ASSOCIATIONS
Hyperparathyroidism
Hemachromatosis – iron overload
Osteoarthritis
Hypomagnesemia
Familial
Hypophosphatasia
Vast majority have osteoarth.

4. Osteoarthritic joints DIP
Ca deposit in wrist. In cartilage

6. Ca deposit in mesisci of knee

7. Articular cart/linear deposit along head of humerous

8. Bony fragmentation of ankle joint

9. Dx seen with crystals under microscope
Dx seen with crystals under microscope. Arrangement opposite of gout crystals

10. TREATMENT OF PSEUDOGOUT
NSAIDS
Intra-articular steroids
PO colchicine prophylaxis
Can quiet down acute episodes but no good way to limit recurrent attacks