An Unusual Case of Acute Chondrocalcinosis in Wrist Joint Presenting as Cellulitis

Awan, Razia; Ghazanfar, Haider; Pena, Karen A Martes; Farkhad, Rafi I

doi:10.7759/cureus.1916

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…In any patient with features of acute joint swelling and signs of infection, such as erythema and tenderness, pseudogout should be considered a potential cause. Awan et al also reported a case of CPPD deposition which led to chondrocalcinosis in the wrist joint, misdiagnosed as cellulitis [ 8 ]. There also have been multiple studies where pseudogout was mistaken for gout, osteoarthritis, rheumatoid arthritis, septic arthritis, Charcot arthropathy, or polymyalgia rheumatica [ 1 , 9 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

Synovium to Myocardium: A Case of Calcium Pyrophosphate Dihydrate Crystal Arthritis Associated With Myocardial Infarction

Raza¹,

Rana²,

Arif³

et al. 2023

Cureus

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Both gout and pseudogout are crystal-induced arthropathies. Here, we report a case of acute calcium pyrophosphate dihydrate (CPPD) arthritis associated with type 1 myocardial infarction (MI). An 83-year-old female presented to our emergency department with generalized weakness and bilateral lower extremity edema. Her left foot was noted to be more inflamed compared to the right, with cardinal signs of pain, swelling, erythema, and warmth. A presumptive diagnosis of cellulitis was made, and antibiotics were initiated. Further investigations revealed elevated troponins with new-onset bundle branch block, ST, and Twave changes on electrocardiogram, indicating a type 1 MI. After a review of the patient's history, imaging of the extremity, elevated inflammatory markers, and the typical distribution and pattern of inflammation, the diagnosis was changed to pseudogout. Steroids and colchicine were initiated, providing instant relief. This case highlights a possible association between cardiovascular disease and pseudogout, emphasizing the need for further studies regarding this relationship. Despite being rare, physicians should be made aware of this relationship, especially in patients with a history of CPPD arthritis presenting with type 1 MI.

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Section: Discussionmentioning

confidence: 99%

Synovium to Myocardium: A Case of Calcium Pyrophosphate Dihydrate Crystal Arthritis Associated With Myocardial Infarction

Raza¹,

Rana²,

Arif³

et al. 2023

Cureus

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“…Due to its non-specific symptomology, cellulitis can mimic many other conditions, including gout, osteoarthritis, septic arthritis, and pseudogout [4]. Despite multiple reports of gout misdiagnosed as pseudo-cellulitis, few studies have compared these diseases [5][6][7][8]. This report describes two cases initially misdiagnosed as cellulitis and later identified as CPPD and successfully treated.…”

Section: Introductionmentioning

confidence: 98%

Confusion With Presentations of Calcium Pyrophosphate Dihydrate Disease: A Report of Two Cases Mistaken for Cellulitis

Rana¹,

Raza²,

Arif³

et al. 2023

Cureus

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Both pseudogout and cellulitis are diseases that may mimic one another in clinical practice. We discuss two cases of acute calcium pyrophosphate dihydrate (CPPD) arthritis mistaken for cellulitis in the emergency department. Both patients experienced significant improvement after management was changed to treat CPPD. These cases highlight how it is essential for physicians to consider CPPD as a differential diagnosis for a patient that is presenting with signs of inflammation in any joint.

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An unusual case of acute pseudogout in the hand masquerading as cellulitis

meng,

zhou,

wang

et al. 2024

Preprint

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Calcium pyrophosphate dihydrate (CPPD) disease is the third most common inflammatory arthritides primarily affecting the elderly. We present a case of acute pseudogout of the hand whose symptoms mimicked cellulitis. Our patient presented with a swollen hand which were initially treated as acute cellulitis with antibiotics but without any improvement. A final diagnosis of acute chondrocalcinosis was made based on multiple intra-articular calcifications.

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An Unusual Case of Acute Chondrocalcinosis in Wrist Joint Presenting as Cellulitis

Cited by 3 publications

References 8 publications

Synovium to Myocardium: A Case of Calcium Pyrophosphate Dihydrate Crystal Arthritis Associated With Myocardial Infarction

Synovium to Myocardium: A Case of Calcium Pyrophosphate Dihydrate Crystal Arthritis Associated With Myocardial Infarction

Confusion With Presentations of Calcium Pyrophosphate Dihydrate Disease: A Report of Two Cases Mistaken for Cellulitis

An unusual case of acute pseudogout in the hand masquerading as cellulitis

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