Chondrocalcinosis a Differential in Young Patient: A Case Report
Vol 06 Issue 1 | January 2025 | page: 33-35 | Satya Ranjan Patra, Abhay Tyagi, Saswat Samant, Suman Sourav Mishra, Amlan Dash, Subhrajeet Dash
DOI: https://doi.org/10.13107/ojot.2025.v06.i01.74
Received 20/04/2024; Reviewed 18/05/2024; Accepted 24/11/2024; Published 10/01/2025
Authors: Satya Ranjan Patra [1], Abhay Tyagi [1], Saswat Samant [1], Suman Sourav Mishra [1], Amlan Dash [1], Subhrajeet Dash [1]
[1] Department of Orthopaedics, Kalinga Institute of Medical Sciences (KIMS), Bhubaneswar, Odisha, India.
Address of Correspondence
Dr. Abhay Tyagi
Department of Orthopaedics, Kalinga Institute of Medical Sciences (KIMS), Bhubaneswar, Odisha, India.
Email ID: abhay20tyagi@gmail.com
Abstract
Calcium Pyrophosphate Dihydrate (CPPD) crystal deposition is the hallmark of chondrocalcinosis (CC), a disorder that usually affects the elderly and manifests as inflammatory arthritis. It is indeed rare among younger patients but warrants investigation to find the underlying causes. This case report showcases a 37-year-old woman who had a history of recurrent, self-limiting knee pain for four years and right hip pain that lasted for a year. A clinical examination showed widespread tenderness and swelling in the knees. Elevated erythrocyte sedimentation rates and distinctive punctate and linear calcifications seen on radiological examination of the right hip joint and both knees were part of the diagnostic evaluation. Synovial fluid analysis revealed rhomboid or rod- shaped CPPD crystals under polarized light microscopy, confirming the final diagnosis. The initial screening for metabolic causes were negative. Conservative methods of management included physiotherapy and analgesics for pain relief. This case emphasizes the significance of taking into account CC in younger patients who exhibit radiographic evidence of calcifications and persistent joint pain, even in cases where typical metabolic risk factors are not conclusive. Appropriate patient care depends on a precise diagnosis made via synovial fluid analysis.
Keywords: Calcium pyrophosphate deposition disease, Chondrocalcinosis, Crystal-induced arthropathy, Young adult, Synovial fluid analysis.
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| How to Cite this Article: Patra SR, Tyagi A, Samant S, Mishra SS, Dash A, Dash S. Chondrocalcinosis a Differential in Young Patient: A Case Report. The Odisha Journal of Orthopaedics and Trauma| January 2025; 06;01:33-35 | https://doi.org/10.13107/ojot.2025.v06.i01.74. |
