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LetterCase Report

Acute Calcium Pyrophosphate Crystal Arthritis Induced by Small Molecule Inhibitors in Anticancer Targeted Therapy: A Report of 2 Cases

Elia Touma, Amir Bieber and Shay Brikman
The Journal of Rheumatology May 2025, jrheum.2025-0027; DOI: https://doi.org/10.3899/jrheum.2025-0027
Elia Touma
E. Touma, MD, Rheumatic Diseases Unit, Emek Medical Center, Afula, Israel.
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Amir Bieber
A. Bieber, MD, MA, Rheumatic Diseases Unit, Emek Medical Center, Afula; Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
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Shay Brikman
S. Brikman, MD, Rheumatic Diseases Unit, Emek Medical Center, Afula; Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
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Calcium pyrophosphate deposition disease (CPPD) is a crystal-induced arthropathy characterized by the deposition of calcium pyrophosphate (CPP) crystals in articular cartilage and soft tissues. It typically presents with acute monoarthritis involving large joints such as the knee or wrist, but it may also manifest as an oligoarticular or polyarticular disease. CPPD is associated with aging, osteoarthritis, and metabolic disorders such as hyperparathyroidism and hypomagnesemia.

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The Journal of Rheumatology: 53 (2)
The Journal of Rheumatology
Vol. 53, Issue 2
1 Feb 2026
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Acute Calcium Pyrophosphate Crystal Arthritis Induced by Small Molecule Inhibitors in Anticancer Targeted Therapy: A Report of 2 Cases
Elia Touma, Amir Bieber, Shay Brikman
The Journal of Rheumatology May 2025, jrheum.2025-0027; DOI: 10.3899/jrheum.2025-0027

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Acute Calcium Pyrophosphate Crystal Arthritis Induced by Small Molecule Inhibitors in Anticancer Targeted Therapy: A Report of 2 Cases
Elia Touma, Amir Bieber, Shay Brikman
The Journal of Rheumatology May 2025, jrheum.2025-0027; DOI: 10.3899/jrheum.2025-0027
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