Čes. stomatol. Prakt. zub. lék. (Czech Dental Journal) 2013; 113(6): 150-154 | DOI: 10.51479/cspzl.2013.030

Chondrocalcinosis (Pseudogout) of the Temporomandibular Joint

P. Tvrdý1,*, R. Pink1, T. Tichý2, P. Heinz1, P. Michl1
1 Klinika ústní, čelistní a obličejové chirurgie LF UP a FN, Olomouc
2 Ústav klinické a molekulární patologie LF UP a FN, Olomouc

Introduction: Crystal-induced arthropathies are a frequent inflammatory joint disease. These diseases are characterized by the formation of crystal deposits in joint tissues or in periarticular structures. Calcium pyrophosphate crystal deposition in the temporomandibular joint occurs very rarely.

Aim: The aim of this case report is to demonstrate the occurrence of the rare crystal arthropathy in temporomandibular joint, examination methods and therapeutic options.
Material and method, results: In this report, we present the case of a 77-year-old woman with chondrocalcinosis of right temporomandibular joint. She underwent removal of pseudotumor after MRI examination. Evaluation of the specimen revealed the presence of rhomboid positively birefringent crystals.

Conclusion: It is not easy to make an accurate diagnosis of the disease due to the heterogeneity in the clinical symptoms. Frequently, it imitates various tumours or inflammatory conditions. Histopathological examination with a polarizing microscope and CT and MRI scans are the mainstays of the diagnostics. The principal therapeutic method is the surgical removal of the depositions of crystals.

Keywords: chondrocalcinosis; pseudogout; temporomandibular joint; diagnostics; therapy

Published: December 1, 2013  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Tvrdý P, Pink R, Tichý T, Heinz P, Michl P. Chondrocalcinosis (Pseudogout) of the Temporomandibular Joint. Čes. stomatol. Prakt. zub. lék. 2013;113(6):150-154. doi: 10.51479/cspzl.2013.030.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Alvarellos, A., Spilberg, I.: Colchicine prophylaxis in pseudogout. J. Rheumatol., roč. 13, 1986, č. 4, s. 804-805.
    2. Appel, T., Bergé, S., Conrad, R., Süess, K.: Kalziumpyrophos-phatarthropathie (Pseudogicht) des Kiefergelenks. Mund Kiefer Gesichtschir., roč. 4, 2001, č. 5, s. 61-64. Go to original source... Go to PubMed...
    3. Dijkgraff, L. C., De Bont, L. G., Liems, R. S.: Calcium pyrophosphate crystal deposition disease of the temporo-mandibular joint: report of a case. J. Oral Maxillofac. Surg., roč. 50, 1992, č. 9, s. 1003-1009. Go to original source... Go to PubMed...
    4. Dvořák, Z., Ulrichová, J., Modrianský, M., Maurel, P.: Effect of kolchicine and its derivatives on the expression of selected isoforms of cytochrome P450 in primary cultures of human hepatocytes. Biomed. Pap. Med. Fac. Univ. Palacky Olomouc Czech Repub., roč. 143, 2000, s. 47-50. Go to original source...
    5. Goldblatt, F., Highton, J., Kumara, G.: Temporomandibular joint pseudogout: an uncommon site for a familiar condition. Ann. Rheum. Dis., roč. 63, 2004, č. 12, s. 1706-1707; doi:10.1136/ard.2003.019075. Go to original source... Go to PubMed...
    6. Gonzalez, T., Gantes, M.: Prevention of acute attacks of pseudogout with oral colchicine J. Rheumatol., roč. 14, 1987, č. 3, s. 632-633.
    7. Greaves, S., Fordyce, A.: Bilateral temporomandibular joint pseudogout. Brit. Dent. J., roč. 192, 2002, č. 1, s. 25-27. Go to original source... Go to PubMed...
    8. Gross, B. D., Williams, R. B., DiCosimom, C. J., Williams, S. V.: Gout and pseudogout of the temporomandibular joint. Oral Surg. Oral Med. Oral Pathol., roč. 63, 1987, č. 9, s. 551-554. Go to original source... Go to PubMed...
    9. Hutton, C. W., Doherty, M., Dieppe, P. A.: Acute pseudogout of the temporomandibular joint: report of three cases and review of the literature. Brit. J. Rheumatol., roč. 26, 1987, č. 2, p. 51-52. Go to original source... Go to PubMed...
    10. Chuong, R., Piper, M. A.: Bilateral pseudogout of the temporo-mandibular joint: report of a case and review of the literature. J. Oral Maxillofac. Surg., roč. 53, 1995, č. 5, s. 691-694. Go to original source... Go to PubMed...
    11. Kamatani, Y., Tagawa, T., Hirano, Y., Nomura, J., Murata, M.: Destructive calcium pyrophosphate dihydrate temporomandibular arthopathy. Int. J. Oral Maxillofac. Surg., roč. 16, 1987, č. 8, s. 749-752. Go to original source... Go to PubMed...
    12. Kathju, S., Cohen, R., Lasko, L. A., Aynechi, M., Dattilo, D. J.: Pseudogout of the temporomandibular joint: immediate reconstruction with total joint arthroplasty. Head Neck, roč. 32, 2010, č. 3, s. 406-410. Go to original source... Go to PubMed...
    13. Marsot-Dupuch, K., Smoker, W. R., Gentry, L. R., Cooper, K. A.: Massive calcium pyrophosphate dihydrate crystal deposition disease: a cause of pain of the temporomandibular joint. Am. J. Neuroradiol., roč. 25, 2004, č. 7, s. 876-879.
    14. Lambert, R. G., Becker, E. J., Pritzker, K. P.: Case report 597: Calcium pyrophosphate deposition disorder (CPPD) of the right temporomandibular joint. Skeletal Radiol., roč. 19, 1990, č. 2, s. 139-141. Go to original source... Go to PubMed...
    15. Magno, W. B., Lee, S. H., Schmidt, J.: Chondrocalcinosis of the temporomandibular joint: an external ear canal pseudotumor. Oral Surg. Oral Med. Oral Pathol., roč. 73, 1992, č. 4, s. 262-265. Go to original source... Go to PubMed...
    16. Pritzker, K. P., Phillips, H., Luk, S. C., Koven, I. H., Kiss, A., Houpt, J. B.: Pseudotumor of the temporomandibular joint: destructive calcium pyrophosphate dihydrate arthropathy. J. Rheumatol., roč. 3, 1976, č. 2, s. 70-81.
    17. Pynn, B., Weinberg, S., Irish, J.: Calcium pyrophosphate dihydrate deposition disease of the temporomandibular joint. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod., roč. 87, 1995, č. 2, s. 133-134. Go to original source... Go to PubMed...
    18. Richette, P., Ayoub, G., Bardin, T., Bouvet, S., Orcel, P., Badran, A. M.: Hypomagnesemia and chondrocalcinosis in short bowel syndrome. J. Rheumatol., roč. 32, 2005, č. 12, s. 2434-2436.
    19. Steinbach, L. S., Resnick, D.: Calcium pyrophosphate dihydrate crystal deposition disease revisited. Radiology, roč. 110, 1996, č. 1, s. 1-9. Go to original source... Go to PubMed...
    20. Žurek, M.: Krystaly indukované artropatie. Med. pro Praxi, roč. 8, 2011, č. 6, s. 299-301.

    This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.


    Return to the content