OCAD MSK

History

87M chronic left wrist pain no recent trauma

Figure 1 for case CPPD deposition disease ( RID3571 ) — Figure 1

Figure 2 for case CPPD deposition disease ( RID3571 ) — Figure 2

Figure 3 for case CPPD deposition disease ( RID3571 ) — Figure 3

Discussion

First XRs are from today; severe erosive arthropathy with destruction and disorganization of the proximal and mid carpus and asymmetric osteopenia on the left. XRs from 2013 2 mos after fall on left wrist show stage I SLAC bilaterally; and the right wrist appears stable now. MRI from 2 weeks after the XR in 2013 showed synovitis and marrow edema with widespread erosions. I am confused by the osteopenia since I presume this is marked progression of CPPD arthropathy, now with features mimicking neuroarthropathy. What do the rheumatology experts among us think?

Diagnosis

CPPD deposition disease ( RID3571 )

Hilary Umans, MD

Courtesy

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