Int J Stomatol

Int J Stomatol ›› 2021, Vol. 48 ›› Issue (6): 664-667.doi: 10.7518/gjkq.2021113

• Case Report • Previous Articles     Next Articles

Calcium pyrophosphate deposition disease complicated by temporomandibular joint dislocation

Zhang Zhe1(),Liu Jin2,Wang Weihong1,3(),Chen Zhiqiang2,Yang Chun3,Liu Li3   

  1. 1. Dept. of Oral and Maxillofacial Surgery, Affiliated Stomatological Hospital of Kunming Medical University, Kunming 650106, China
    2. Dept. of Orthopedics, Xinping County Hospital of Traditional Chinese Medicine, Yuxi 653400, China
    3. Dept. of Temporomandibular Joint Diseases, Affiliated Stomatological Hospital of Kunming Medical University, Kunming 650106, China
  • Received:2021-03-10 Revised:2021-08-27 Online:2021-11-01 Published:2021-10-28
  • Contact: Weihong Wang E-mail:zhangzhe2200@163.com;wwh2002191@163.com
  • Supported by:
    Medical Leading Talents Project of Yunnan Provincial Health Commission(L-201801)

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Abstract:

Calcium pyrophosphate deposition disease (CPPD) occurred in the temporomandibular joint is relatively rare. This report describes a case of CPPD combined multiple dislocations of the unilateral temporomandibular joint (TMJ) in a 54-year-old male patient who was successively misdiagnosed as having habitual TMJ dislocation, synovial chondroma and gout. Unexpectedly, the postoperative histopathological diagnosis was neoplastic calcium pyrophosphate crystalline deposition disease (pseudogout). Therefore, TMJ calcium pyrophosphate deposition disease should not be excluded in patients with chronic spontaneous unilateral TMJ dislocation, and should also be distinguished from TMJ synovial chondromas and condylar osteochondromas.

Key words: calcium pyrophosphate deposition disease, temporomandibular joint, pseudogout

CLC Number: 

  • R782.6

TrendMD: 

Fig 1

Three-dimensional CT showed dislocation of the right temporomandibular joint"

Fig 2

Imaging examination before operation"

Fig 3

Intraoperatively, the tumor capsule was found to be intact and elastic"

Fig 4

The histopathology showed that neoplastic CPPD with neutrophil and lymphocyte infiltration HE × 20"

[1] Vijen S, Hawes C, Runions J, et al. Differences in intracellular localisation of ANKH mutants that relate to mechanisms of calcium pyrophosphate deposition disease and craniometaphyseal dysplasia[J]. Sci Rep, 10(1):7408.
doi: 10.1038/s41598-020-63911-x
[2] Rosenthal AK, Ryan LM. Calcium pyrophosphate deposition disease[J]. N Engl J Med, 2016, 374(26):2575-2584.
doi: 10.1056/NEJMra1511117
[3] 李亚法, 王双义, 于晓宁. 颌面部焦磷酸钙沉积病并文献复习[J]. 海南医学, 2016, 27(23):3946-3947.
Li YF, Wang SY, Yu XN. Maxillofacial calcium py-rophosphate deposition disease and literature review[J]. Hainan Med J, 2016, 27(23):3946-3947.
[4] Parperis K, Papachristodoulou E, Kakoullis L, et al. Management of calcium pyrophosphate crystal deposition disease: a systematic review[J]. Semin Arthritis Rheum, 2021, 51(1):84-94.
doi: 10.1016/j.semarthrit.2020.10.005
[5] Iqbal SM, Qadir S, Aslam HM, et al. Updated treatment for calcium pyrophosphate deposition disease: an insight[J]. Cureus, 2019, 11(1):3840.
[6] Tai CH, Oh HB, Seet JE, et al. Pseudogout-a rare manifestation of hungry bone syndrome after focu-sed parathyroidectomy[J]. Ann R Coll Surg Engl, 2018, 100(5):106-108.
doi: 10.1308/rcsann.2017.0158
[7] Zamora EA, Naik R. Calcium pyrophosphate deposition disease[M]. Treasure Island (FL): StatPearls Publishing, 2021.
[8] Zhou X, Cui Y, Zhou X, et al. Phosphate/pyrophosphate and MV-related proteins in mineralisation: dis-coveries from mouse models[J]. Int J Biol Sci, 2012, 8(6):778-790.
doi: 10.7150/ijbs.4538
[9] Terkeltaub RA. Inorganic pyrophosphate generation and disposition in pathophysiology[J]. Am J Physiol Cell Physiol, 2001, 281(1):1-11.
[10] Ryan LM. The ank gene story[J]. Arthritis Res, 2001, 3(2):77-79.
pmid: 11178113
[11] Gruber BL, Couto AR, Armas JB, et al. Novel AN-KH amino terminus mutation (Pro5Ser) associated with early-onset calcium pyrophosphate disease with associated phosphaturia[J]. J Clin Rheumatol, 2012, 18(4):192-195.
doi: 10.1097/RHU.0b013e3182582c3d pmid: 22647861
[12] Gross AJ, Houston KR, Hudson JW, et al. A multidisciplinary approach to synovial chondromatosis of the temporomandibular joint with cranial base involvement: a brief review of the literature and case report[J]. J Oral Maxillofac Surg, 2020, 78(10):1759-1765.
doi: 10.1016/j.joms.2020.04.046
[13] Lu C, Xie QY, He DM, et al. Stability of orthognathic surgery in the treatment of condylar osteochondroma combined with jaw deformity by CT measu-rements[J]. J Oral Maxillofac Surg, 2020, 78(8): 1417.1-1417.14.
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[1] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[2] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[3] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[4] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[5] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[6] . [J]. Foreign Med Sci: Stomatol, 1999, 26(04): .
[7] . [J]. Foreign Med Sci: Stomatol, 2005, 32(06): 458 -460 .
[8] . [J]. Foreign Med Sci: Stomatol, 2005, 32(06): 452 -454 .
[9] . [J]. Inter J Stomatol, 2008, 35(S1): .
[10] . [J]. Inter J Stomatol, 2008, 35(S1): .