Description Inflammation of a j...
Description
Inflammation of a joint caused by calcium pyrophosphatedehydrate crystals. A single large joint such as the knee is typically involved. The disorder is seen most commonly in people over 60 years of age. It usually causes multiple recurrent attacks, and a single attack can lasts days to weeks. The exact cause of the crystal formation is unknown.
Symptoms
Joint swelling, joint pain, redness around the joint, the joint may feel hot, pain with moving the joint, symptoms are recurrent.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. An arthrocentesis (removal of fluid from the joint through a needle) is done to examine the joint fluid for white blood cells and calcium pyrophosphate crystals. A culture of the fluid is commonly performed to rule out an infection. An X-ray may be performed to evaluate the heath of the joint.
Tests:
X-ray
Other Specific Tests: Arthrocentesis, Joint fluid analysis, Joint fluid culture
Specialists:
Internal Medicine, Rheumatology, Pediatrics, Family Practice
Workup:
A history and physical exam will be performed. An arthrocentesis (removal of fluid from the joint through a needle) is done to examine the joint fluid for white blood cells and calcium pyrophosphate crystals. A culture of the fluid is commonly performed to rule out an infection. An X-ray may be performed to evaluate the heath of the joint.
Tests:
X-ray
Other Specific Tests: Arthrocentesis, Joint fluid analysis, Joint fluid culture
Specialists:
Internal Medicine, Rheumatology, Pediatrics, Family Practice
Treatment
Treatment may involve the removal of fluid to relieve pressure within the joint (arthrocentesis). Steroid injections may be helpful to treat severely inflamed joints. The following medications may be prescribed: nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn), oral steroids, and pain medications.