RT Journal Article
SR Electronic
T1 Tophaceous calcium pyrophosphate dihydrate deposition disease of the temporomandibular joint.
JF The Journal of Rheumatology
JO J Rheumatol
FD The Journal of Rheumatology
SP 717
OP 721
VO 35
IS 4
A1 Jennifer L Reynolds
A1 Ian R Matthew
A1 Andrew Chalmers
YR 2008
UL http://www.jrheum.org/content/35/4/717.abstract
AB Tophaceous pseudogout is a rare manifestation of calcium pyrophosphate dihydrate (CPPD) deposition disease that particularly affects the temporomandibular joint (TMJ). We describe a case of tophaceous pseudogout and review the literature. Thirty-four cases of chronic CPPD deposition disease affecting the TMJ are described. Symptoms usually included pain and swelling. Most patients required surgery because of extensive crystal deposits, usually localized to the joint and adjacent structures but occasionally invasive. For many patients, malignancy was the preoperative diagnosis. Although patients with acute pseudogout of the TMJ may have involvement of other joints, tophaceous pseudogout was predominantly isolated to the TMJ.