Ankylosing spondylitis with severe chondrocalcinosis: case report.
The term chondrocalcinosis is often used to describe the radiological or pathological features of calcified joint cartilage, and it usually indicates the deposition in cartilage of calcium pyrophosphate dihydrate. The prevalence of chondrocalcinosis increases with age, with dramatic increases occurring in the decades past age 60. In younger patients with chondrocalcinosis, either clinical evidence of associated metabolic diseases leading to the chondrocalcinosis or familial disease occurrence usually can be detected. We report a 42-year-old Chinese woman with ankylosing spondylitis and arthritis involving multiple peripheral joints. Severe chondrocalcinosis was detected incidentally in this patient, however, subsequent studies revealed no associated metabolic disease or familial susceptibility and the clinical features of this patient were different from those of ankylosing chondrocalcinosis (pseudoankylosing spondylitis). The cause of chondrocalcinosis in this patient remains unknown, but joint damage and repair could have been initiating or aggravating factors of the chondrocalcinosis.
Ho
H H
HH
Department of Internal Medicine, Chang Gung Memorial Hospital, Taipei, Taiwan, R.O.C.
Yang
W E
WE
Luo
S F
SF
D000328:Adult; D002131:Calcium Pyrophosphate / Q000737:chemistry; D002805:Chondrocalcinosis / Q000209:etiology* / Q000628:therapy; D003460:Crystallization; D005260:Female; D006801:Humans; D013167:Spondylitis, Ankylosing / Q000150:complications*
D002131:Calcium Pyrophosphate