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[Chondrocalcinosis and calcium pyrophosphate (CPP) crystal deposition disease in 2010].
[familial hypocalciuric hypercalcemia]
Chondrocalcinosis
may
be
asymptomatic
or
take
three
classical
forms
(
acute
recurrent
inflammatory
,
chronic
inflammatory
,
with
osteoarthritis
)
.
Apart
form
that
,
CPP
crystal
arthropathies
can
mimic
several
rheumatic
diseases
,
including
polymyalgia
,
septic
arthritis
and
spondylodiscitis
.
Several
conditions
can
predispose
to
chondrocalcinosis
,
including
hemochromatosis
,
hyperparathyroidism
,
familial
hypocalciuric
hypercalcemia
,
hypomagnesemia
and
treatment
with
tacrolimus
or
diuretics
.
The
diagnostic
sensitivity
of
ultrasound
seems
better
than
radiography
and
CT
is
useful
in
spinal
forms
but
whenever
possible
,
the
identification
of
crystals
in
synovial
fluid
remains
essential
.
NSAIDs
and
/
or
glucocorticoids
are
frequently
sufficient
to
control
symptoms
but
methotrexate
,
at
anti-
inflammatory
doses
(
10
-
20
mg
/
wk
)
appears
useful
in
refractory
forms
.
Diseases
Validation
Diseases presenting
"including polymyalgia"
symptom
familial hypocalciuric hypercalcemia
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