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KMID : 1084220160230020122
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Journal of Rheumatic Diseases
2016 Volume.23 No. 2 p.122 ~ p.124
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Acute Pseudogout of the Neck: "Crowned Dens" Revisited
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Lee Hye-Sun
Kim Hyeon-Su
Jung Ui-Hong
Kwon Hyun-Hee
Lee Young-Hwan
Park Sung-Hoon
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Abstract
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Calcium pyrophosphate dihydrate crystal deposition disease is associated with an acute mono- or pauciarthritis, termed “pseudogout” in elderly patients, involving a large joint (including the knees, ankles) or a chronic arthropathy manifesting as mild joint pain and stiffness. Pseudogout is a crystal-deposition disease of peripheral joints, usually encountered in elderly patients. However, acute presentation of pseudogout around the odontoid process comprises a “crowned-dens” appearance, and requires contemplation of differential diagnoses. We recently experienced a case of pseudogout in the cervical spine presenting with fever and acute neck pain that was successfully treated with a colchicine and low-dose oral steroid. We reported this case with a review of the relevant literature.
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KEYWORD
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Pseudogou, Cervical
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