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Acute calcific periarthritis—a commonly misdiagnosed pathology
Skeletal Radiology ( IF 1.9 ) Pub Date : 2022-02-11 , DOI: 10.1007/s00256-022-04006-8
Simon Dimmick 1 , Catherine Hayter 1 , James Linklater 1
Affiliation  

Acute calcific periarthritis (ACP) is a self-limiting, monoarticular, peri-articular process of dystrophic mineral deposition and adjacent inflammation. Patients present with a sudden onset of pain, localised swelling, erythema, tenderness and restricted range of motion. Symptoms reduce in severity within 4–7 days and self resolve in 3–4 weeks. ACP is commonly misdiagnosed, in particular, as infective or inflammatory pathologies such as septic arthritis and gout. This condition has specific imaging findings which allows differentiation from other disorders when combined with the clinical presentation. Prompt diagnosis results in appropriate management and reduces the likelihood of unnecessary diagnostic and therapeutic procedures.



中文翻译:

急性钙化性关节炎——一种常被误诊的病理

急性钙化性关节炎(ACP)是一种自限性、单关节、关节周围的营养不良性矿物质沉积和邻近炎症的过程。患者表现为突然发作的疼痛、局部肿胀、红斑、压痛和活动范围受限。症状在 4-7 天内减轻严重程度,并在 3-4 周内自行消退。ACP 通常被误诊为感染性或炎症性病变,例如化脓性关节炎和痛风。这种情况有特定的影像学表现,结合临床表现可以与其他疾病区分开来。及时诊断导致适当的管理,并减少不必要的诊断和治疗程序的可能性。

更新日期:2022-02-11
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