Chondrocalcinosis (Pseudogout) of the Temporomandibular Joint
Authors:
P. Tvrdý 1; R. Pink 1; T. Tichý 2; P. Heinz 1; P. Michl 1
Authors place of work:
Klinika ústní, čelistní a obličejové chirurgie LF UP a FN, Olomouc
1; Ústav klinické a molekulární patologie LF UP a FN, Olomouc
2
Published in the journal:
Česká stomatologie / Praktické zubní lékařství, ročník 113, 2013, 6, s. 150-154
Category:
Case Report
Summary
Introduction:
Crystal-induced arthropathies are a frequent inflammatory joint disease. These diseases are characterized by the formation of crystal deposits in joint tissues or in periarticular structures. Calcium pyrophosphate crystal deposition in the temporomandibular joint occurs very rarely.
Aim:
The aim of this case report is to demonstrate the occurrence of the rare crystal arthropathy in temporomandibular joint, examination methods and therapeutic options.
Material and method, results: In this report, we present the case of a 77-year-old woman with chondrocalcinosis of right temporomandibular joint. She underwent removal of pseudotumor after MRI examination. Evaluation of the specimen revealed the presence of rhomboid positively birefringent crystals.
Conclusion:
It is not easy to make an accurate diagnosis of the disease due to the heterogeneity in the clinical symptoms. Frequently, it imitates various tumours or inflammatory conditions. Histopathological examination with a polarizing microscope and CT and MRI scans are the mainstays of the diagnostics. The principal therapeutic method is the surgical removal of the depositions of crystals.
Key words:
chondrocalcinosis – pseudogout – temporomandibular joint – diagnostics – therapy
Zdroje
1. Alvarellos, A., Spilberg, I.: Colchicine prophylaxis in pseudogout. J. Rheumatol., roč. 13, 1986, č. 4, s. 804–805.
2. Appel, T., Bergé, S., Conrad, R., Süess, K.: Kalziumpyrophos-phatarthropathie (Pseudogicht) des Kiefergelenks. Mund Kiefer Gesichtschir., roč. 4, 2001, č. 5, s. 61–64.
3. Dijkgraff, L. C., De Bont, L. G., Liems, R. S.: Calcium pyrophosphate crystal deposition disease of the temporo-mandibular joint: report of a case. J. Oral Maxillofac. Surg., roč. 50, 1992, č. 9, s. 1003–1009.
4. Dvořák, Z., Ulrichová, J., Modrianský, M., Maurel, P.: Effect of kolchicine and its derivatives on the expression of selected isoforms of cytochrome P450 in primary cultures of human hepatocytes. Biomed. Pap. Med. Fac. Univ. Palacky Olomouc Czech Repub., roč. 143, 2000, s. 47–50.
5. Goldblatt, F., Highton, J., Kumara, G.: Temporomandibular joint pseudogout: an uncommon site for a familiar condition. Ann. Rheum. Dis., roč. 63, 2004, č. 12, s. 1706–1707; doi:10.1136/ard.2003.019075.
6. Gonzalez, T., Gantes, M.: Prevention of acute attacks of pseudogout with oral colchicine J. Rheumatol., roč. 14, 1987, č. 3, s. 632–633.
7. Greaves, S., Fordyce, A.: Bilateral temporomandibular joint pseudogout. Brit. Dent. J., roč. 192, 2002, č. 1, s. 25–27.
8. Gross, B. D., Williams, R. B., DiCosimom, C. J., Williams, S. V.: Gout and pseudogout of the temporomandibular joint. Oral Surg. Oral Med. Oral Pathol., roč. 63, 1987, č. 9, s. 551–554.
9. Hutton, C. W., Doherty, M., Dieppe, P. A.: Acute pseudogout of the temporomandibular joint: report of three cases and review of the literature. Brit. J. Rheumatol., roč. 26, 1987, č. 2, p. 51–52.
10. Chuong, R., Piper, M. A.: Bilateral pseudogout of the temporo-mandibular joint: report of a case and review of the literature. J. Oral Maxillofac. Surg., roč. 53, 1995, č. 5, s. 691–694.
11. Kamatani, Y., Tagawa, T., Hirano, Y., Nomura, J., Murata, M.: Destructive calcium pyrophosphate dihydrate temporomandibular arthopathy. Int. J. Oral Maxillofac. Surg., roč. 16, 1987, č. 8, s. 749–752.
12. Kathju, S., Cohen, R., Lasko, L. A., Aynechi, M., Dattilo, D. J.: Pseudogout of the temporomandibular joint: immediate reconstruction with total joint arthroplasty. Head Neck, roč. 32, 2010 , č. 3, s. 406–410.
13. Marsot-Dupuch, K., Smoker, W. R., Gentry, L. R., Cooper, K. A.: Massive calcium pyrophosphate dihydrate crystal deposition disease: a cause of pain of the temporomandibular joint. Am. J. Neuroradiol., roč. 25, 2004, č. 7, s. 876–879.
14. Lambert, R. G., Becker, E. J., Pritzker, K. P.: Case report 597: Calcium pyrophosphate deposition disorder (CPPD) of the right temporomandibular joint. Skeletal Radiol., roč. 19, 1990, č. 2, s. 139–141.
15. Magno, W. B., Lee, S. H., Schmidt, J.: Chondrocalcinosis of the temporomandibular joint: an external ear canal pseudotumor. Oral Surg. Oral Med. Oral Pathol., roč. 73, 1992, č. 4, s. 262–265.
16. Pritzker, K. P., Phillips, H., Luk, S. C., Koven, I. H., Kiss, A., Houpt, J. B.: Pseudotumor of the temporomandibular joint: destructive calcium pyrophosphate dihydrate arthropathy. J. Rheumatol., roč. 3, 1976, č. 2, s. 70–81.
17. Pynn, B., Weinberg, S., Irish, J.: Calcium pyrophosphate dihydrate deposition disease of the temporomandibular joint. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod., roč. 87, 1995, č. 2, s. 133–134.
18. Richette, P., Ayoub, G., Bardin, T., Bouvet, S., Orcel, P., Badran, A. M.: Hypomagnesemia and chondrocalcinosis in short bowel syndrome. J. Rheumatol., roč. 32, 2005, č. 12, s. 2434–2436.
19. Steinbach, L. S., Resnick, D.: Calcium pyrophosphate dihydrate crystal deposition disease revisited. Radiology, roč. 110, 1996, č. 1, s. 1–9.
20. Žurek, M.: Krystaly indukované artropatie. Med. pro Praxi, roč. 8, 2011, č. 6, s. 299–301.
Štítky
Maxillofacial surgery Orthodontics Dental medicineČlánok vyšiel v časopise
Czech Dental Journal
2013 Číslo 6
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- Fiber Reinforced Composites and their Application in the Contemporary Dentistry
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