Crowned Dens Syndrome as an Initial Manifestation of Crystalline Deposition Disease

被引：17

作者：

Koda, Ryo ^{[1
,2
]}

Tsuchida, Yohei ^{[1
]}

Yoshizawa, Kazutaka ^{[1
]}

Suzuki, Kazuo ^{[1
]}

Kasai, Akio ^{[1
]}

Takeda, Tetsuro ^{[2
]}

Kazama, Junichiro James ^{[3
]}

Narita, Ichiei ^{[3
]}

Yoshida, Kazukiyo ^{[1
]}

机构：

[1] Niigata Prefectural Muikamachi Hosp, Niigata, Japan

[2] Dokkyo Med Univ, Koshigaya Hosp, Tokyo, Japan

[3] Niigata Univ, Grad Sch Med & Dent Sci, Niigata 95021, Japan

来源：

INTERNAL MEDICINE | 2015年 / 54卷 / 18期

关键词：

crowned dens syndrome; crystalline deposition disease; nonsteroidal anti-inflammatory drugs; ACUTE NECK PAIN; POLYMYALGIA-RHEUMATICA; SYMPTOMS;

D O I：

10.2169/internalmedicine.54.4571

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

An 88-year-old woman presented with fever and acute posterior neck pain. A CT scan revealed calcification of the transverse ligament and crown-like calcification around the odontoid process. According to the clinical and radiological findings, she was diagnosed with crowned dens syndrome (CDS). Her symptoms drastically improved following treatment with oral nonsteroidal anti-inflammatory medication. An X-ray of her wrist, elbow, shoulder and knee joints showed asymptomatic calcium deposits, suggesting underlying crystalline deposition disease. CDS may occur as the initial presentation of crystalline deposition disease. The measurement of procalcitonin and an X-ray survey of the major joints may be helpful for the diagnosis of CDS.

引用

页码：2405 / 2408

页数：4

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