Pseudogout (Calcium Deposit Arthritis)
Description
An acute inflammation of a joint caused by calcium pyrophosphate dehydrate crystals. It usually involves the large joints of the body and typically only a single joint is involved. The disorder is seen most commonly in people over 60 years of age. It usually causes multiple recurrent attacks, and a single attack can lasts days to weeks. The exact cause of the crystal formation is unknown.
Symptoms
Joint swelling, joint pain, redness around the joint, the joint may feel hot, pain with moving the joint, symptoms are recurrent.
Tests
A history and physical exam will be performed. An arthrocentesis is done to examine the joint fluid for white blood cells and calcium pyrophosphate crystals. A culture of the fluid is commonly performed to rule out an infection. An X-ray may be performed to evaluate the heath of the joint.
- X-Ray
Treatment
Treatment may involve the removal of fluid to relieve pressure within the joint (arthrocentesis). Steroid injections may be helpful to treat severely inflamed joints. The following medications may be prescribed: nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn), oral steroids, and pain medications.
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