A case of inflammatory mass resulting from calcium crystal deposition disease around the thoracic spine

Calcium crystal deposition diseases are transient benign diseases that can cause intense pain. They can sometimes cause masses and soft tissue edema around the calcification, which should be differentiated from tumors and abscesses. We report a case of calcium crystal deposition disease with an enha...

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Main Authors: Kaori Mizutomi, MD, Yasuji Ryu, MD, Natsuki Sugimori, MD, Toshiyuki Okamura, MD, Hiroyuki Hayashi, MD, Hiroshi Kawai, MD
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043322008056
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author Kaori Mizutomi, MD
Yasuji Ryu, MD
Natsuki Sugimori, MD
Toshiyuki Okamura, MD
Hiroyuki Hayashi, MD
Hiroshi Kawai, MD
author_facet Kaori Mizutomi, MD
Yasuji Ryu, MD
Natsuki Sugimori, MD
Toshiyuki Okamura, MD
Hiroyuki Hayashi, MD
Hiroshi Kawai, MD
author_sort Kaori Mizutomi, MD
collection DOAJ
description Calcium crystal deposition diseases are transient benign diseases that can cause intense pain. They can sometimes cause masses and soft tissue edema around the calcification, which should be differentiated from tumors and abscesses. We report a case of calcium crystal deposition disease with an enhanced mass on the ventral side of the vertebral bodies resembling tumors and abscesses.A female patient in her 50s visited our hospital complaining of chest pain. Computed tomography revealed a soft tissue mass with polygonal high-density lesions on the ventral side of the thoracic spine. Initially, we suspected it to be a perivertebral tumor and considered a biopsy. However, the pain rapidly improved with the administration of oral acetaminophen (Caronal, Chuo-ku/Tokyo/Japan). Hence, the patient was followed up for the time being. The mass disappeared after 3 months. In addition, polygonal high-density lesions inside the mass disappeared over time. Therefore, it was diagnosed as an inflammatory mass due to calcium crystal deposition disease.Calcium crystal deposition diseases can cause soft tissue edema and inflammatory mass around the calcium crystal deposit that can be confused with a perivertebral tumor. This report elucidates the importance of identifying calcifications within and near the masses to diagnose an inflammatory mass resulting from calcium crystal deposition.
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spelling doaj.art-b9913147229549e295b90a0659a835832022-12-22T04:34:10ZengElsevierRadiology Case Reports1930-04332022-12-01171247694773A case of inflammatory mass resulting from calcium crystal deposition disease around the thoracic spineKaori Mizutomi, MD0Yasuji Ryu, MD1Natsuki Sugimori, MD2Toshiyuki Okamura, MD3Hiroyuki Hayashi, MD4Hiroshi Kawai, MD5Department of Radiology, Tonami General Hospital, Toyama, Japan; Corresponding author.Department of Radiology, Tonami General Hospital, Toyama, JapanDepartment of Radiology, Tonami General Hospital, Toyama, JapanDepartment of Internal Medicine, Tonami General Hospital, Toyama, JapanDepartment of Orthopedics, Tonami General Hospital, Toyama, JapanDepartment of Internal Medicine, Tonami General Hospital, Toyama, JapanCalcium crystal deposition diseases are transient benign diseases that can cause intense pain. They can sometimes cause masses and soft tissue edema around the calcification, which should be differentiated from tumors and abscesses. We report a case of calcium crystal deposition disease with an enhanced mass on the ventral side of the vertebral bodies resembling tumors and abscesses.A female patient in her 50s visited our hospital complaining of chest pain. Computed tomography revealed a soft tissue mass with polygonal high-density lesions on the ventral side of the thoracic spine. Initially, we suspected it to be a perivertebral tumor and considered a biopsy. However, the pain rapidly improved with the administration of oral acetaminophen (Caronal, Chuo-ku/Tokyo/Japan). Hence, the patient was followed up for the time being. The mass disappeared after 3 months. In addition, polygonal high-density lesions inside the mass disappeared over time. Therefore, it was diagnosed as an inflammatory mass due to calcium crystal deposition disease.Calcium crystal deposition diseases can cause soft tissue edema and inflammatory mass around the calcium crystal deposit that can be confused with a perivertebral tumor. This report elucidates the importance of identifying calcifications within and near the masses to diagnose an inflammatory mass resulting from calcium crystal deposition.http://www.sciencedirect.com/science/article/pii/S1930043322008056Computed tomographyMagnetic resonance imagingCalcium crystal deposition diseasesCalcificationCalcium pyrophosphate dihydrateAcute back pain
spellingShingle Kaori Mizutomi, MD
Yasuji Ryu, MD
Natsuki Sugimori, MD
Toshiyuki Okamura, MD
Hiroyuki Hayashi, MD
Hiroshi Kawai, MD
A case of inflammatory mass resulting from calcium crystal deposition disease around the thoracic spine
Radiology Case Reports
Computed tomography
Magnetic resonance imaging
Calcium crystal deposition diseases
Calcification
Calcium pyrophosphate dihydrate
Acute back pain
title A case of inflammatory mass resulting from calcium crystal deposition disease around the thoracic spine
title_full A case of inflammatory mass resulting from calcium crystal deposition disease around the thoracic spine
title_fullStr A case of inflammatory mass resulting from calcium crystal deposition disease around the thoracic spine
title_full_unstemmed A case of inflammatory mass resulting from calcium crystal deposition disease around the thoracic spine
title_short A case of inflammatory mass resulting from calcium crystal deposition disease around the thoracic spine
title_sort case of inflammatory mass resulting from calcium crystal deposition disease around the thoracic spine
topic Computed tomography
Magnetic resonance imaging
Calcium crystal deposition diseases
Calcification
Calcium pyrophosphate dihydrate
Acute back pain
url http://www.sciencedirect.com/science/article/pii/S1930043322008056
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