{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T16:58:07Z","timestamp":1788195487075,"version":"build-2803163510"},"reference-count":12,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Med&amp;#65533;Insights&amp;#65533;Arthritis&amp;#65533;Musculoskelet Disord"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:p>We report a case of calcium pyrophosphate dihydrate crystal deposition (CPPD) disease presenting as acute arthritis of the left wrist. A 66-year-old woman with no significant family history was admitted with a 7-day history of swelling, persistent pain, and limitation of motion in her left wrist. She reported no recent trauma, surgery, or severe illness, and had no known comorbidities other than mild hypertension treated with low-dose thiazide diuretics. She was not on chronic glucocorticoids or other immunosuppressive drugs. Plain radiographs of her wrist, obtained during the initial days of arthritis, showed chondrocalcinosis in her left wrist. A diagnosis of pseudogout was made. After 30\u2009days, a repeat X-ray demonstrated the disappearance of the chondrocalcinosis border in the left wrist; however, follow-up radiography revealed chondrocalcinosis in asymptomatic joint areas, such as the pubic symphysis and knees. With this case report, we highlight the important role of radiographs in the early diagnosis of CPPD disease. Radiographic detection of crystal deposition can occasionally be transient, and its disappearance may lead to diagnostic confusion. Identifying such changes early can help avoid misdiagnosis and inappropriate management.<\/jats:p>","DOI":"10.1177\/11795441251344950","type":"journal-article","created":{"date-parts":[[2025,6,13]],"date-time":"2025-06-13T06:05:02Z","timestamp":1749794702000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Disappearance of the Chondrocalcinosis Border in Arthritis of the Wrist: Important Role in Diagnostic Mistakes"],"prefix":"10.1177","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-0802-6825","authenticated-orcid":false,"given":"Angelo","family":"Nigro","sequence":"first","affiliation":[{"name":"Department of Rheumatology of Lucania\u2013UOSD of Rheumatology, \u201cMadonna delle Grazie\u201d Hospital, Matera, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,6,12]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"1","volume-title":"Rheumatology","author":"Doherty M","unstructured":"Doherty M. Crystal-related arthropathies: calcium pyrophosphate dihydrate. In: Klippel JH, Dieppe PA, eds. Rheumatology, 2nd ed., Mosby; 1998:1-12.","edition":"2"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.141.1.6270724"},{"key":"e_1_3_3_4_2","first-page":"1","article-title":"Clinical, radiographic and pathologic abnormalities in calcium pyrophosphate dehydrate deposition disease (CPPD): pseudogout","volume":"122","author":"Resnick D","year":"1977","unstructured":"Resnick D, Niwayama G, Goergen TG, et al. Clinical, radiographic and pathologic abnormalities in calcium pyrophosphate dehydrate deposition disease (CPPD): pseudogout. Diagn Radiol. 1977;122:1-15.","journal-title":"Diagn Radiol"},{"key":"e_1_3_3_5_2","first-page":"2103","volume-title":"Arthritis and allied conditions","author":"Ryan LM","unstructured":"Ryan LM, McCarty DJ. Calcium pyrophosphate crystal deposition disease, pseudogout and articular chondrocalcinosis. In: McCarty DJ, Koopman WJ, eds. Arthritis and allied conditions.13th ed. Lea and Febiger; 1997:2103-2125.","edition":"13"},{"key":"e_1_3_3_6_2","first-page":"339","article-title":"Role of radiology in the diagnosis of joint chondrocalcinosis. The so-called atypical symptomatic aspects","volume":"75","author":"Villiaumey J","year":"1994","unstructured":"Villiaumey J, Avouac B. Role of radiology in the diagnosis of joint chondrocalcinosis. The so-called atypical symptomatic aspects. J Radiol. 1994;75:339-361.","journal-title":"J Radiol"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/0011-5029(94)90021-3"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780140114"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780270906"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.140.3.6269144"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780240527"},{"key":"e_1_3_3_12_2","first-page":"137","article-title":"2 cases of diffuse articular chondrocalcinosis. disappearance of the radiological images in 1 of the cases","volume":"31","author":"BASTIN JM.","year":"1964","unstructured":"BASTIN JM. 2 cases of diffuse articular chondrocalcinosis. disappearance of the radiological images in 1 of the cases. Rev Rhum Mal Osteoartic. 1964;31:137-139.","journal-title":"Rev Rhum Mal Osteoartic"},{"key":"e_1_3_3_13_2","first-page":"443","article-title":"Disappearance of a calcification of the sub-quadriceps pouch in a case of chondrocalcinosis","volume":"31","author":"Hamza M","year":"1988","unstructured":"Hamza M, Bardin T, Cheour I, et al. Disappearance of a calcification of the sub-quadriceps pouch in a case of chondrocalcinosis. Ann Radiol. 1988;31:443-445.","journal-title":"Ann Radiol"}],"container-title":["Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11795441251344950","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11795441251344950","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11795441251344950","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,13]],"date-time":"2025-06-13T06:05:03Z","timestamp":1749794703000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11795441251344950"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":12,"alternative-id":["10.1177\/11795441251344950"],"URL":"https:\/\/doi.org\/10.1177\/11795441251344950","relation":{},"ISSN":["1179-5441","1179-5441"],"issn-type":[{"value":"1179-5441","type":"print"},{"value":"1179-5441","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4]]},"article-number":"11795441251344950"}}