This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (29)  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

J. Desmond O'Duffy, MD

JAMA. 1973;226(1):42-44.

Abstract
From 1970 through 1971, 31 episodes of pseudogout occurred in 28 hospitalized patients. Twenty-three episodes occurred after surgery (21 operations, including 11 orthopedic procedures and 3 parathyroid adenectomies) at a median of three days. Five of the nine attacks in medical patients occurred after acute vascular illnesses (median, seven days). Knee involvement was most common (25 of 31 episodes); other large joints were sometimes affected, and nearly half of the patients had more than one joint inflamed. Ten of the patients were observed during their first episode. Joint aspiration with intra-articular steroid injection appears to be the best treatment. Because most attacks were noted during the early postoperative phase, hypocalcemia is postulated as one metabolic "trigger" for this form of crystal synovitis.

Author Affiliations
From the Mayo Clinic and Mayo Foundation, Rochester, Minn.

Footnotes
Reprint requests to Mayo Clinic, Rochester, MN 55901 (Dr. O'Duffy).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Case 19-1998- A 70-Year-Old Man with Diarrhea, Polyarthritis, and a History of Reiter's Syndrome
Shmerling and Caliendo
NEJM 1998;338:1830-1836.
FULL TEXT  

Pyrophosphate Arthropathy in the Knees of Elderly Persons
Handy
Arch Intern Med 1996;156:2426-2432.
ABSTRACT  

Gout and Pseudogout in Hospitalized Patients
Ho and DeNuccio
Arch Intern Med 1993;153:2787-2790.
ABSTRACT