Pseudogout of the lumbar spine
Calcium pyrophosphate deposition involves deposition of calcium pyrophosphate dihydrate crystals in various joints throughout the body. The term “pseudogout” refers to an acute attack of calcium pyrophosphate crystal-induced arthritis. Though clinical presentation and joint involvement vary, involve...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-04-01
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| Series: | Radiology Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043322009359 |
| _version_ | 1797894967547396096 |
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| author | Sneha R. Gupta, MD Sai Phani Sree Cherukuri, MBBS Mohamad Chehab, MD Kalyan Paudel, MD Christopher Haas, MD, PhD |
| author_facet | Sneha R. Gupta, MD Sai Phani Sree Cherukuri, MBBS Mohamad Chehab, MD Kalyan Paudel, MD Christopher Haas, MD, PhD |
| author_sort | Sneha R. Gupta, MD |
| collection | DOAJ |
| description | Calcium pyrophosphate deposition involves deposition of calcium pyrophosphate dihydrate crystals in various joints throughout the body. The term “pseudogout” refers to an acute attack of calcium pyrophosphate crystal-induced arthritis. Though clinical presentation and joint involvement vary, involvement of the lumbar spine is rare. We present the case of a 61-year-old male who presented with 3 days of worsening lower back pain. He had elevated inflammatory markers, leukocytosis, and spinal tenderness on exam. Magnetic resonance imaging of the lumbar spine showed likely L4-L5 osteomyelitis; however, biopsy of the disk space revealed extensive calcium pyrophosphate crystal deposition. The patient was treated with prednisone taper with alleviation of symptoms. Though pseudogout of the spine is rare, our report supports literature urging clinicians to consider pseudogout when assessing elderly patients with back pain for prompt and appropriate treatment. |
| first_indexed | 2024-04-10T07:17:54Z |
| format | Article |
| id | doaj.art-db3fd0b6177f49bba30ff02c7e1c60ee |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-10T07:17:54Z |
| publishDate | 2023-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-db3fd0b6177f49bba30ff02c7e1c60ee2023-02-25T04:09:35ZengElsevierRadiology Case Reports1930-04332023-04-0118414901493Pseudogout of the lumbar spineSneha R. Gupta, MD0Sai Phani Sree Cherukuri, MBBS1Mohamad Chehab, MD2Kalyan Paudel, MD3Christopher Haas, MD, PhD4Medstar Health Internal Medicine Residency Program, 3700 Toone Street, Apt 2622, Baltimore, MD 21224, USA; Corresponding author.Medstar Health Internal Medicine Residency Program, 3700 Toone Street, Apt 2622, Baltimore, MD 21224, USAMedstar Health Internal Medicine Residency Program, 3700 Toone Street, Apt 2622, Baltimore, MD 21224, USA; Medstar Health Hospitalist Program, Baltimore, MD, USAMedstar Health Department of Radiology, Baltimore, MD, USAMedstar Health Internal Medicine Residency Program, 3700 Toone Street, Apt 2622, Baltimore, MD 21224, USA; Department of Internal Medicine, Georgetown University School of Medicine, Washington, DC, USACalcium pyrophosphate deposition involves deposition of calcium pyrophosphate dihydrate crystals in various joints throughout the body. The term “pseudogout” refers to an acute attack of calcium pyrophosphate crystal-induced arthritis. Though clinical presentation and joint involvement vary, involvement of the lumbar spine is rare. We present the case of a 61-year-old male who presented with 3 days of worsening lower back pain. He had elevated inflammatory markers, leukocytosis, and spinal tenderness on exam. Magnetic resonance imaging of the lumbar spine showed likely L4-L5 osteomyelitis; however, biopsy of the disk space revealed extensive calcium pyrophosphate crystal deposition. The patient was treated with prednisone taper with alleviation of symptoms. Though pseudogout of the spine is rare, our report supports literature urging clinicians to consider pseudogout when assessing elderly patients with back pain for prompt and appropriate treatment.http://www.sciencedirect.com/science/article/pii/S1930043322009359 |
| spellingShingle | Sneha R. Gupta, MD Sai Phani Sree Cherukuri, MBBS Mohamad Chehab, MD Kalyan Paudel, MD Christopher Haas, MD, PhD Pseudogout of the lumbar spine Radiology Case Reports |
| title | Pseudogout of the lumbar spine |
| title_full | Pseudogout of the lumbar spine |
| title_fullStr | Pseudogout of the lumbar spine |
| title_full_unstemmed | Pseudogout of the lumbar spine |
| title_short | Pseudogout of the lumbar spine |
| title_sort | pseudogout of the lumbar spine |
| url | http://www.sciencedirect.com/science/article/pii/S1930043322009359 |
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