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Case ReportImages in Rheumatology

Crowned Dens Syndrome: Calcium Pyrophosphate Deposition Disease Masquerading as Osteomyelitis

ALEXANDER HECK, NATHANIAL NOLAN and CHRISTIAN ROJAS-MORENO
The Journal of Rheumatology October 2018, 45 (10) 1422-1423; DOI: https://doi.org/10.3899/jrheum.170921
ALEXANDER HECK
University of Missouri School of Medicine;
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NATHANIAL NOLAN
Department of Medicine, University of Missouri;
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CHRISTIAN ROJAS-MORENO
Department of Medicine, Divisions of Infectious Diseases and Hospital Medicine, University of Missouri, Columbia, Missouri, USA.
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    Figure 1.

    An axial CT image of our patient’s cervical spine, illustrating the “crowning” of the dens. This density represents calcium pyrophosphate dihydrate deposition in the ligaments surrounding the odontoid process of C2. CT: computed tomography.

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    Figure 2.

    A coronal CT image of our patient’s cervical spine, which illustrates radio-dense opacities blurring the space between the dens (odontoid process of C2) and surrounding articular facet of the axis (C1). CT: computed tomography.

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The Journal of Rheumatology
Vol. 45, Issue 10
1 Oct 2018
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Crowned Dens Syndrome: Calcium Pyrophosphate Deposition Disease Masquerading as Osteomyelitis
ALEXANDER HECK, NATHANIAL NOLAN, CHRISTIAN ROJAS-MORENO
The Journal of Rheumatology Oct 2018, 45 (10) 1422-1423; DOI: 10.3899/jrheum.170921

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Crowned Dens Syndrome: Calcium Pyrophosphate Deposition Disease Masquerading as Osteomyelitis
ALEXANDER HECK, NATHANIAL NOLAN, CHRISTIAN ROJAS-MORENO
The Journal of Rheumatology Oct 2018, 45 (10) 1422-1423; DOI: 10.3899/jrheum.170921
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