![]() ![]() Ilan DI, Rettig ME (2003) Rheumatoid arthritis of the wrist.Buy Article Permissions and Reprints ABSTRACTĬalcium pyrophosphate dihydrate (CPPD) crystal deposition disease is characterized by the accumulation of pyrophosphate dihydrate crystals in articular and periarticular tissues. Strauss EJ, Alfonso D, Baidwan G, Di Cesare PE (2008) Orthopedic manifestations and management of psoriatic arthritis. ![]() Zhang Y, Niu J, Kelly-Hayes M, Chaisson CE, Aliabadi P, Felson DT (2002) Prevalence of symptomatic hand osteoarthritis and its impact on functional status among the elderly: the Framingham Study. Ramonda R, Frallonardo P, Musacchio E, Vio S, Punzi L (2014) Joint and bone assessment in hand osteoarthritis. doi: 10.4414/smw.2010.13098ĭoherty M, Dieppe P, Watt I (1984) Low incidence of calcium pyrophosphate dihydrate crystal deposition in rheumatoid arthritis, with modification of radiographic features in coexistent disease. Punzi L, Oliviero F, Ramonda R (2010) New horizons in osteoarthritis. Gordon TP, Ahern MJ, Reid C, Roberts-Thomson PJ (1985) Studies on the interaction of rheumatoid factor with monosodium urate crystals and case report of coexistent tophaceous gout and rheumatoid arthritis. Rev Prat 39:569–574Ĭavasin F, Punzi L, Ramonda R, Pianon M, Oliviero F, Sfriso P, Todesco S (2004) Prevalence of erosive osteoarthritis of the hand in a population from Venetian area. Gerster JC (1989) Destructive arthropathies. Roddy E, Zhang W, Doherty M (2008) Gout and nodal osteoarthritis: a case-control study. Nowatzky J, Howard R, Pillinger MH, Krasnokutsky S (2010) The role of uric acid and other crystals in osteoarthritis. Merola JF, Wu S, Han J, Choi HK, Qureshi AA (2014) Psoriasis, psoriatic arthritis and risk of gout in US men and women. Guggi V, Calame L, Gerster JC (2002) Contribution of digit joint aspiration to the diagnosis of rheumatic diseases. Oliviero F, Scanu A, Galozzi P, Gava A, Frallonardo P, Ramonda R, Punzi L (2013) Prevalence of calcium pyrophosphate and monosodium urate crystals in synovial fluid of patients with previously diagnosed joint diseases. Ramonda R, Oliviero F, Galozzi P, Frallonardo P, Lorenzin M, Ortolan A, Scanu A, Punzi L (2015) Molecular mechanisms of pain in crystal-induced arthritis. Zhang W, Doherty M, Bardin T, Barskova V, Guerne PA, Jansen TL, Leeb BF, Perez-Ruiz F, Pimentao J, Punzi L, Richette P, Sivera F, Uhlig T, Watt I, Pascual E (2011) European League Against Rheumatism recommendations for calcium pyrophosphate deposition. Report of a task force of the Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT). Zhang W, Doherty M, Pascual E, Bardin T, Barskova V, Conaghan P, Gerster J, Jacobs J, Leeb B, Lioté F, McCarthy G, Netter P, Nuki G, Perez-Ruiz F, Pignone A, Pimentão J, Punzi L, Roddy E, Uhlig T, Zimmermann-Gòrska I, EULAR Standing Committee for International Clinical Studies Including Therapeutics (2006) EULAR evidence based recommendations for gout. Punzi L, Oliviero F (2009) Arthrocentesis and synovial fluid analysis in clinical practice: value of sonography in difficult cases. The finding underlines the importance of analyzing SF from the hand and wrist joints in the attempt to identify comorbidities associated with the presence of crystals and to develop targeted treatment strategies. Consistent with previously reported data concerning the big joints, microcrystals can be frequently found also in the small joints of patients with previous diagnosis. The prevalence of MSU crystals in SF was 83.3 % in gout, 10 % in PsA, 2.8 % in OA and 0 % in RA, SpA, miscellanea and CPP-CA. The prevalence of CPP crystals in SF was 85.71 % in CPP-crystals arthritis (CPP-CA), 19.35 % in rheumatoid arthritis (RA), 13.89 % in osteoarthritis (OA) and 0 % in psoriatic arthritis (PsA), spondyloarthritis (SpA), gout and miscellanea. We reported from patients’ medical files data about sex, age, diagnosis, disease duration and the microscopic SF results. We reviewed the results of SF analysis of 1593 samples and identified 126 patients with effusions in the small joints of the hands and wrists. The aim of this study was to assess the frequency of monosodium urate (MSU) and calcium pyrophosphate (CPP) crystals in synovial fluids (SFs) aspirated from wrist and finger joints of patients with previously diagnosed joint diseases. ![]()
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