Differenzialdiagnose Rückenschmerzen mit Entzündungsparametern: Fallvorstellung: Manifestation einer CPPD als Crowned Dens Syndrom mit Befall peripherer Gelenke

Zusammenfassung

Der aktuelle Fall beschreibt den Fall eines 84 jährigen Patienten mit zunächst unklaren Rückenschmerzen und hohen Entzündungsparameter. Nach Ausschluss infektiöser Ursache konnte im Verlauf eine CPPD (Calcium pyrophosphat deposition disease) Erkrankung mit Wirbelsäulenbefall diagnostiziert werden. Neue radiologische Segmentierungsverfahren erlaubten zudem die Detektion von CPPD Kristallen in peripheren Gelenken. Nach Gabe von Prednisolon und Kineret konnte die Beschwerdesymptomatik erfolgreich behandelt werden.

Abstract

This case report describes the case of a patient with back pain of unknown origin and high inflammatory markers. After an infectious cause was ruled out, he was diagnosed with CPPD disease with spinal infestation. New radiological segmentation methods also allowed the detection of CPPD crystals in peripheral joints. Treatment with prednisolone and short-term Kineret was initiated and the symptoms were treated successfully.

Schlüsselwörter

Chondrokalzinose - CPPD - Kristallarthritis - Crowned dens syndrom - Pseudogicht

Key words

chondrocalcinosis - CPPD - crystal arthropathies - crowned dens syndrome - pseudogout

Publication History

Article published online:
16 February 2021

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