A case of tophaceous pseudogout of the temporomandibular joint extending to the base of the skull
Abstract A case of tophaceous pseudogout (i.e., calcium pyrophosphate dihydrate (CPPD) crystal deposition disease) in the temporomandibular joint (TMJ), extending to the base of the skull, is reported. A 38-year-old man was referred to the hospital with mild pain in the right chin and tip of the ton...
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Published in: | International journal of oral and maxillofacial surgery Vol. 46; no. 3; pp. 355 - 359 |
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Abstract | Abstract A case of tophaceous pseudogout (i.e., calcium pyrophosphate dihydrate (CPPD) crystal deposition disease) in the temporomandibular joint (TMJ), extending to the base of the skull, is reported. A 38-year-old man was referred to the hospital with mild pain in the right chin and tip of the tongue. Panoramic radiography showed a large calcified mass around the right TMJ. Computed tomography imaging revealed a large, granular, calcified mass surrounding the right condylar head and extending to the base of the skull. The mass was clinically and radiographically suspected to be a pseudogout lesion. A biopsy specimen was collected under general anaesthesia to confirm the diagnosis. On histology, the mass was found to contain deposits of numerous rod-shaped and rhomboid crystals, which suggested tophaceous pseudogout. The deposits were identified as CPPD crystal deposition, based on analysis by X-ray diffraction and Fourier transform infrared spectroscopy. These two crystallography methods were useful in confirming the diagnosis of CPPD crystal deposition disease in the TMJ. |
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AbstractList | A case of tophaceous pseudogout (i.e., calcium pyrophosphate dihydrate (CPPD) crystal deposition disease) in the temporomandibular joint (TMJ), extending to the base of the skull, is reported. A 38-year-old man was referred to the hospital with mild pain in the right chin and tip of the tongue. Panoramic radiography showed a large calcified mass around the right TMJ. Computed tomography imaging revealed a large, granular, calcified mass surrounding the right condylar head and extending to the base of the skull. The mass was clinically and radiographically suspected to be a pseudogout lesion. A biopsy specimen was collected under general anaesthesia to confirm the diagnosis. On histology, the mass was found to contain deposits of numerous rod-shaped and rhomboid crystals, which suggested tophaceous pseudogout. The deposits were identified as CPPD crystal deposition, based on analysis by X-ray diffraction and Fourier transform infrared spectroscopy. These two crystallography methods were useful in confirming the diagnosis of CPPD crystal deposition disease in the TMJ. Abstract A case of tophaceous pseudogout (i.e., calcium pyrophosphate dihydrate (CPPD) crystal deposition disease) in the temporomandibular joint (TMJ), extending to the base of the skull, is reported. A 38-year-old man was referred to the hospital with mild pain in the right chin and tip of the tongue. Panoramic radiography showed a large calcified mass around the right TMJ. Computed tomography imaging revealed a large, granular, calcified mass surrounding the right condylar head and extending to the base of the skull. The mass was clinically and radiographically suspected to be a pseudogout lesion. A biopsy specimen was collected under general anaesthesia to confirm the diagnosis. On histology, the mass was found to contain deposits of numerous rod-shaped and rhomboid crystals, which suggested tophaceous pseudogout. The deposits were identified as CPPD crystal deposition, based on analysis by X-ray diffraction and Fourier transform infrared spectroscopy. These two crystallography methods were useful in confirming the diagnosis of CPPD crystal deposition disease in the TMJ. |
Author | Kudoh, T Tsuru, K Kudoh, K Miyamoto, Y |
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Cites_doi | 10.1111/j.1440-1827.1997.tb04552.x 10.1111/j.1440-1827.2008.02300.x 10.1016/S0901-5027(87)80063-2 10.1148/radiology.200.1.8657894 10.1007/BF00350651 10.1001/archotol.1987.01860100095032 10.1111/j.1440-1827.1997.tb04544.x 10.1002/crat.200610784 10.1016/j.oooo.2013.12.007 10.1016/0046-8177(95)90161-2 10.1054/bjom.2000.0313 10.7326/0003-4819-56-5-711 10.1002/hed.21074 10.1016/S0278-2391(99)90877-7 10.1016/S0901-5027(99)80671-7 10.2334/josnusd.45.223 10.1148/radiology.141.1.6270724 |
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Keywords | X-ray diffraction tophaceous pseudogout Fourier transform infrared spectroscopy temporomandibular joint calcium pyrophosphate dihydrate |
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A case report publication-title: Int J Oral Maxillofac Surg doi: 10.1016/S0901-5027(99)80671-7 contributor: fullname: Nakagawa – volume: 45 start-page: 223 year: 2003 ident: 10.1016/j.ijom.2016.08.018_bib0175 article-title: Calcium pyrophosphate dihydrate arthropathy with condylar destruction of the temporomandibular joint publication-title: J Oral Sci doi: 10.2334/josnusd.45.223 contributor: fullname: Osano – volume: 141 start-page: 1 year: 1981 ident: 10.1016/j.ijom.2016.08.018_bib0185 article-title: Further observations on the arthropathy of calcium pyrophosphate crystal deposition disease publication-title: Radiology doi: 10.1148/radiology.141.1.6270724 contributor: fullname: Martel |
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Snippet | Abstract A case of tophaceous pseudogout (i.e., calcium pyrophosphate dihydrate (CPPD) crystal deposition disease) in the temporomandibular joint (TMJ),... A case of tophaceous pseudogout (i.e., calcium pyrophosphate dihydrate (CPPD) crystal deposition disease) in the temporomandibular joint (TMJ), extending to... |
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SubjectTerms | Adult Biopsy calcium pyrophosphate dihydrate Chondrocalcinosis - diagnostic imaging Dentistry Diagnosis, Differential Fourier transform infrared spectroscopy Humans Male Radiography, Panoramic Spectroscopy, Fourier Transform Infrared Surgery temporomandibular joint Temporomandibular Joint Disorders - diagnostic imaging Tomography, X-Ray Computed tophaceous pseudogout X-Ray Diffraction |
Title | A case of tophaceous pseudogout of the temporomandibular joint extending to the base of the skull |
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